convenio data_pagamento numero_protocolo matricula nome numero_guia ng_prest senha_guia codigo_produto descricao_produto valor_apresentado valor_pago valor_glosa descricao_motivo codigo_motivo
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1484 0.1316 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.1590 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6926 0.3374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6926 0.3374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00124 LUVA CIRURGICA UN 1.4500 1.0857 0.3643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00124 LUVA CIRURGICA UN 1.4500 1.0856 0.3644 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1793 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0800 0.6630 0.4170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 1.6000 1.5960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51379 SERINGA DESC 05 ML UN 0.1900 0.0480 0.1420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51379 SERINGA DESC 05 ML UN 0.1900 0.0480 0.1420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.5800 0.4049 0.1751 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2501 0.0799 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1071 0.2129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1067 0.2133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 0.6700 0.6691 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 1.3300 1.3276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51584 ESPARADRAPO MICROPORE 0.5100 0.1870 0.3230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6189 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8693 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 02177 TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA 14.3300 14.3258 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 02177 TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA 14.3300 14.3258 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 08460 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U 0.0000 16.3969 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8541c7edf7a4ed32f7b1b5c6024d71b7 MARIA NULL NULL 12057442512 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 e66cafd7d15fff38ae7b3434d5e8fcb2 HAMANDA NULL NULL 12016945011 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ee1315b9f8072a0a4d2a61a6444eb052 MARIA NULL NULL 12065485612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5bbb182eb9e8c14e2f1be6ac927821ce FLORIVANDA NULL NULL 12045450610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12043848919 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 01775 ATADURA CREPOM 30 CM UN 0.0000 14.8084 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 10.5556 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018672933 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 31828 PREDNISONA 20 MG CP VO UN 0.0000 1.4960 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3093 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 208.0025 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 19178 SERINGA DESC 60 ML UN 0.0000 31.1286 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 52710 MOXIFLOXACINO 1,6 MG/ML 250 ML SI 0.0000 129.8467 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 17906 PROTAMINA 1000 UI/ML 5 ML SI IV AP 0.0000 16.3392 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 05444 CLORETO DE POTASSIO 15% 10 ML SI I 0.0000 1.0293 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 20613 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.3952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 0.0000 7.8894 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 0.7669 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00563 ATROPINA 0,50 MG SI IV AP 2.6000 2.5990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 0.7573 6.0627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.3791 3.0309 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2310 0.0690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.6100 0.8400 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 1.2460 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 11969054546 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 37761 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0150 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 03905 CATETER BALAO PARA ANGIOPLASTIA PER 0.0000 1000.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 34622 ATORVASTATINA CALCICA 20 MG CP VO 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 38210 FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.2800 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 29785 EXTENSOR DE BOMBA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 55425 AGULHA P/ RAQUI 27GX3,5 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 20010010 ECG ELETROCARDIOGRAMA 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 24546 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 0.0000 40.1468 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 159.6660 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 14664 NALOXONA 0,4 MG/ML 1 ML SI IM IV S 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 4.7345 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.1900 1.1868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 17252 LIDOCAINA 2% GE OU TP GR 7.7800 1.6670 6.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 97.1100 88.2916 8.8184 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 79.2700 72.0717 7.1983 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 39.6400 36.0403 3.5997 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 6.3554 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 11.8766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 33359 TRAMADOL 100 MG 2 ML SI IM IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 16.2600 16.2549 0.0051 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 06470 BAMIFILINA 300 MG DG VO UN 1.1100 0.0000 1.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 06470 BAMIFILINA 300 MG DG VO UN 1.1100 0.0000 1.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0070 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 10.2150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 0.2840 0.9960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.5100 0.1160 0.3940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3071 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4700 0.4697 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 1.6000 0.5300 1.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01491 FENITOINA 100 MG CP VO UN 0.0000 1.1220 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.6000 0.4840 0.1160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.2000 0.1620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2820 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2695 0.2405 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1374 0.1226 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.5500 0.5100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00097 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1760 0.4940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51197 ANLODIPINA 5 MG CP VO UN 0.3800 0.1900 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9400 1.7407 0.1993 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9400 1.7407 0.1993 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4197 0.2803 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8950 2.8950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 000501 OXIGENIO 8.9200 7.1550 1.7650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 1.6100 1.6060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.5800 0.5721 0.0079 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51584 ESPARADRAPO MICROPORE 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 00097 ABOCATH N 14 A 22 UN 3.7700 3.7686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.5814 0.2286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.5814 0.2286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 27.0600 21.0470 6.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 42.1013 12.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 12750 LAMINA BISTURI N 10, 11,12 E 15 UN 0.0000 0.5074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00434 AGUA BIDESTILADA 1000 ML SI IM IV 0.0000 8.8994 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9080 0.6820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4870 0.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00095 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 1.4500 0.9222 0.5278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 1.4500 0.9222 0.5278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8530 0.3470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8530 0.3470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.2600 0.1900 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3977 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00480 PROTAMINA 1000 UI/ML 5 ML SI IV AP 10.8900 4.6677 6.2223 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.3203 0.3197 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00037 AGULHA DESC 30 X 7 - 40X12 UN 1.0300 1.0176 0.0124 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.2713 0.2587 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3430 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 2.9000 2.6630 0.2370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.0200 0.9152 0.1048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0300 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51197 ANLODIPINA 5 MG CP VO UN 0.3800 0.1900 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.2500 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0230 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2320 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.4000 0.3800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 32050038 RX Tórax: P. A. 15.7500 7.8770 7.8730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2820 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 0.5700 0.2000 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 0.5700 0.1900 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7115 0.2885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9700 0.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.5100 0.1130 0.3970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.7700 0.1710 0.5990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8097 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2190 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 0.7669 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 0.0000 37.9856 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 110.9800 100.9021 10.0779 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 17252 LIDOCAINA 2% GE OU TP GR 7.7800 1.6670 6.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 25.7400 25.7357 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 13749 MARCAPASSO CARDIACO MULTIPROGRAM. C 0.0000 4324.3398 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065583810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b85b98069437a0197b35382d8a4fa2ab LUZIARIO NULL NULL 12041256810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041802311 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2a2c74f7cfa78b15dfb278de7e52e681 ALESSANDRA NULL NULL 12063984810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3c14f9ba98ed821ca7f905caf5bb28c7 SUELY NULL NULL 12020712811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b4215705e804b8acf7dc23b8eae7bbfb JOSE NULL NULL 12061893313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 33839 AZITROMICINA 500 MG CP VO UN 0.0000 2.9780 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 33839 AZITROMICINA 500 MG CP VO UN 0.0000 2.9780 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.2500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6100 0.4800 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores 137.7500 91.8300 45.9200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 0.9490 1.4510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 12793 LAMINA BISTURI N 20, 22 E 24 UN 3.6276 1.7385 0.7715 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.9172 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores 137.7500 91.8400 45.9100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 51584 ESPARADRAPO MICROPORE 1.7900 1.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010825428 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 fe59d59ffbe450357d0892baa454996b WANDEIR NULL NULL 12007135620 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 52339d70d59c638f8ef91d6b30010ff8 VALDIVINO NULL NULL 12011303428 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 6ad4a9ab4dc89538f55ce6498413ed60 ALEXANDRE NULL NULL 12001776923 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00826 TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I 17.5400 17.5392 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 12793 LAMINA BISTURI N 20, 22 E 24 UN 1.7309 0.9934 0.1166 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 12793 LAMINA BISTURI N 20, 22 E 24 UN 2.0309 1.3659 0.0441 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 6720419d56ac643545ccf13e6b37472e MARIA NULL NULL 11990226829 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 5ea6a6002c8e83f6d421220320b9a7dd MARLENE NULL NULL 11996585420 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12058229229 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 76c395111a1dd6cd69e8903e23284f13 PAULO NULL NULL 12041679020 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 18bff2e20be5bf25c102efb75070e03a SEBASTIAO NULL NULL 11994277020 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8052 0.6448 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 4.6960 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2360 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 1.9653 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.7080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 14.3970 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 33936 CEFTRIAXONA IV 1G + DIL. 10 ML PO 0.0000 54.1292 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 42.1013 12.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1600 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00090 SERINGA DESC 20 ML UN 5.3800 5.3700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 4.4300 3.4500 0.9800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00348 DIPIRONA 500 MG CP VO UN 0.2700 0.2690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 3.1768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 23280 FIO POLYCOT 2.0 S/ AGULHA SPA44T UN 0.0000 5.0976 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 0.0000 7.8894 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 6.3554 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00434 AGUA BIDESTILADA 1000 ML SI IM IV 0.0000 8.8994 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.7900 0.6520 1.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3489 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1067 0.2133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1067 0.2133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 1.6100 1.6060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.3300 0.4700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7510 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 1.5300 0.0000 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.1000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7479 0.2121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51584 ESPARADRAPO MICROPORE 0.5100 0.2900 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 000501 OXIGENIO 5.9500 4.3390 1.6110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.5900 0.5850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7500 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5200 0.2835 0.2365 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6731 0.3269 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1484 0.1316 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8600 1.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2166 0.0534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 20010010 Eletrocardiograma - Ecg 16.5300 12.3900 4.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 03280 CLOREXIDINA 2 % ST TP ML 0.8300 0.5100 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 03280 CLOREXIDINA 2 % ST TP ML 0.4300 0.2700 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1408 0.5892 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6510 0.1590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6510 0.1590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.8200 1.4860 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 26083 Prolopa 50/200mg Cp. 2.1200 2.1100 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 24554 FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J 0.0000 23.1094 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4066 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 11be0d797e40b0f93e0476dc5176a27c IZAURA NULL NULL 12041883516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 aa7a19d4d4b33ebfc26a93badc243b4b HUGO NULL NULL 12049192415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51589 ESPARADRAPO 10 X 4.5 CM CM 0.6000 0.3610 0.2390 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3666 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7770 0.2230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00097 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2552 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51470 BICARBONATO DE SODIO 8,4% 250 ML SI IV FR 38.1100 19.0560 19.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 4.6900 4.6650 0.0250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 55921 CISATRACURIO 20 MG 10 ML SI IV FR 0.0000 117.6760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0256 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 21865 ACIDO TRANEXAMICO 50 MG/ML 5 ML SI 0.0000 17.5396 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 53349 CORDA GUIA 0,14 CONVENCIONAL 200.0000 100.0000 100.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 07181 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO 0.1400 0.1000 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.3900 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.3900 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4000 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6996 0.8504 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00111 ABOCATH N 14 A 22 UN 3.7700 3.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 62.6000 48.6915 13.9085 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 6.6470 1.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2185 0.3715 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.1700 1.1630 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51241 AGULHA 123X45 0.7700 0.0000 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5894 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.7700 0.4030 0.3670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4100 0.3300 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9e86e6c870481e61d9ca899747a0ca15 FRANCISCO NULL NULL 12007180519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12018431519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00124 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 16031 CISATRACURIO 10 MG 5 ML SI IV AP 150.6700 94.1660 56.5040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 5.8139 1.0061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5600 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5780 0.1920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4570 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8730 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8730 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.4014 0.1486 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1970 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1625 0.1275 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7000 0.0595 0.6405 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.3600 0.0310 0.3290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51584 ESPARADRAPO MICROPORE 1.2800 0.6471 0.6329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0340 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5071 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 0.0000 3.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1788 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51660 BROMETO DE IPRATROPIO SL IN GT 0.0200 0.0000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.3500 0.3200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.2500 0.2300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 20.4500 18.6137 1.8363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 0.2600 0.1760 0.0840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4197 0.2803 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2179 0.3721 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.6098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 22.9260 1.6340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 22.9260 1.6340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 21.3900 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 21.3900 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 21.3900 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 10.7000 0.7600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 10.7000 0.7600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7565 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 16.2600 16.2568 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 16.2600 16.2568 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8876 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 5.4130 4.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.7030 2.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2775 0.0525 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4200 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4200 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1573 0.0327 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51378 SERINGA DESC 03 ML UN 1.2000 0.1300 1.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.0125 0.5775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 15.2800 7.6400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 31488 PARACETAMOL 750 MG CP VO UN 0.9100 0.9050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 176.7300 176.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00111 ABOCATH N 14 A 22 UN 3.7700 3.7686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00097 ABOCATH N 14 A 22 UN 3.7700 3.7688 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2300 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2800 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 54687 IODOPOVIDONA SD TP ML 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 5.9817 0.8383 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7240 0.7260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.1550 0.3850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 51584 ESPARADRAPO MICROPORE 1.7900 0.3980 1.3920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00095 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9384 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8429 0.7671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1874 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7542 0.0058 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.1300 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3800 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8550 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1450 0.1150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7480 0.2520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9397 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9398 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8765 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.0200 0.3400 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2761 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 09733 ACETILCISTEINA 600MG PO VO SA 10.4900 10.4850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 07277 DIPIRONA 500 MG CP VO UN 0.0000 0.8160 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018672933 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 20575 SORO FISIOLOGICO 0,9% 1000 ML SI I 0.0000 5.8390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 02534 BICARBONATO DE SODIO 8,4% 10 ML SI 0.0000 7.1568 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 32190 CLORETO DE POTASSIO 10% 10 ML SI I 0.0000 1.1868 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4048 0.4052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2003 0.1997 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 0.7573 6.0627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.3786 3.0314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.9240 0.2760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2188 0.1812 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2189 0.1811 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 18988 SCALP (TODOS) UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00434 AGUA BIDESTILADA 1000 ML SI IM IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 32020066 COLUNA LOMBO SACRA 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 31135 HIDROCLOROTIAZIDA 25 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 21792 TORNEIRINHA DE 3 VIAS DESCARTAVEL U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 38210 FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 07587 DRAMIN B6 DL (DIMENIDRINATO + PIRID 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 07900 ETILEFRINA 10 MG/ML 1 ML SI IM IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.5000 0.3885 0.1115 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00919 ALGODAO HIDROFILO BOLINHA UN 0.0500 0.0498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 8.1300 8.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.4900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 000501 OXIGENIO 2.9700 1.7060 1.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.0598 0.0702 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5400 0.4410 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.5100 0.4160 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1068 0.2132 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00031 AGULHA DESC 13 X 45 UN 0.5800 0.1592 0.4208 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0521 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2185 0.3715 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51241 AGULHA 123X45 0.5700 0.0000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8698 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3476 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 2.6389 2.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4250 0.1050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.2600 0.1360 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00128 LUVA DE PROCEDIMENTO UNIDADE UN 2.3300 0.0000 2.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.4200 0.3200 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 20602 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1478 0.3622 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.9585 0.9815 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2190 0.4510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5233 0.0667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.0000 0.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 06501 ATORVASTATINA CALCICA 20 MG CP VO UN 2.8600 1.4300 1.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.8300 0.6080 0.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.2136 0.4264 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.0000 0.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 9.1940 1.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1263 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 21.1100 21.1078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1404 0.5896 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3290 0.0710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.1900 1.1868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 1.2829 0.7771 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4297 0.2603 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4298 0.2602 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8193 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 14.4000 8.2300 6.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 17252 LIDOCAINA 2% GE OU TP GR 2.5900 0.5570 2.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 01740 ATADURA CREPOM 15 CM UN 0.0000 3.4971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 16031 CISATRACURIO 10 MG 5 ML SI IV AP 90.4000 90.3990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 8.1300 8.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2437 0.2463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8330 0.1670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 1.0898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0220 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0220 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0070 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00919 ALGODAO HIDROFILO BOLINHA UN 0.4000 0.2593 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00919 ALGODAO HIDROFILO BOLINHA UN 0.3800 0.2463 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00919 ALGODAO HIDROFILO BOLINHA UN 0.3800 0.2463 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2800 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2820 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1374 0.1226 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1375 0.1225 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6400 2.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.2000 0.1900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1760 0.4940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1797 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4600 1.3100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4197 0.2803 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 2.9000 2.6630 0.2370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3410 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2662 0.2538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00238 ATADURA CREPOM 15 CM UN 3.5000 0.0000 3.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00238 ATADURA CREPOM 15 CM UN 2.3300 0.0000 2.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.8300 0.8200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.3721 0.1179 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 2.1500 2.1430 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 1.6100 1.6040 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1601 0.1599 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0901 0.0899 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.9000 0.4700 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1700 9.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6550 0.3450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51379 SERINGA DESC 05 ML UN 0.0000 0.7688 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.2600 0.1600 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4870 0.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 27162 ROPIVACAINA 10 MG/ML 20 ML SI PE M 0.0000 2.0052 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 17191 FIO VICRYL 3-0 C/ AGULHA 2,4 3/8 J1 0.0000 61.4884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 25739 ELETRODO DESCARTAVEL (UTI) UN 0.0000 4.2480 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.0000 0.2480 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7643 0.1657 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1727 0.0173 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1930 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 2.3300 2.1572 0.1728 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0698 0.3402 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 992ce258cf73e450d019e370c7b0e144 RENNE NULL NULL 11958235131 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.8300 0.5940 0.2360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11290 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 27600 ONDANSETRONA 2 MG/ML 4 ML SI IM I 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 11193 CLOREXIDINA 2 % ST TP ML 0.0000 1.5960 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 27545 CAMPO IODOFORADO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.2560 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 07978 ELETRODO PARA MARCAPASSO TEMPORARIO 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1081 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 1.0400 2.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.6000 2.1908 0.4092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 0.0000 3.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00124 LUVA CIRURGICA UN 1.4500 0.6500 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51584 ESPARADRAPO MICROPORE 0.5100 0.1920 0.3180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51584 ESPARADRAPO MICROPORE 0.7700 0.2880 0.4820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 20613 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.3952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 07390 DOBUTAMINA 250 MG 20 ML SI IV FR 0.0000 20.9885 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 11969054546 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 11969054546 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 9.3800 2.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 18.7600 4.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 20.0970 4.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 53070 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV 36.2700 36.2698 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 12058250527 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6480 0.0220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9590 0.0410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6020 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51584 ESPARADRAPO MICROPORE 0.5100 0.4090 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 eaa58dad37ed83980acfc856d991be3d REGIANE NULL NULL 12003605925 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 d4291fba863aa4681ee81198f2868d63 HERMINIO NULL NULL 12061672420 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 a9a20f7fc04eb9acc980656e0263aedf CLEUSA NULL NULL 11996123829 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4610 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1607 0.0293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00098 ABOCATH N 14 A 22 UN 3.7700 1.8834 1.8866 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 4.4483 1.4817 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 4.4483 1.4817 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5567 0.8533 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3708 0.0292 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 11.8766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 01775 ATADURA CREPOM 30 CM UN 0.0000 14.8084 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.1900 0.1494 0.0406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.3800 0.2989 0.0811 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.3800 0.2989 0.0811 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 1.7425 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3368 0.1732 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5085 0.2615 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 78.0708 39.0392 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 1.9196 0.9604 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3630 0.0370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7360 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2700 2.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2700 2.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 54968 ELIQUIS TABLET ORAL 13.4800 6.7400 6.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 5704ee64cefc35236ec4f397d76ab06a MARILIA NULL NULL 12052544823 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183329 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.1589 0.5111 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.1459 0.5241 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.1000 0.0986 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 12793 LAMINA BISTURI N 20, 22 E 24 UN 2.3812 0.9995 0.8105 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 1.3322 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.2900 0.2899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.8400 0.8388 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 54033 Fio Nylon 3-0 3/8 Triang Ag 1,9 (14503t) 6.6900 6.6870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.2700 0.0900 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51456 LIDOCAINA 2% S/ VASO SI PE SC ML 2.3500 2.3496 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 4.1100 4.1094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.3300 0.3295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.1900 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2560 0.1440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 15.7800 6.7684 9.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 76bc622d66d20e2144fe5a0db095d82a ANA NULL NULL 12071869527 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 3.3300 3.1300 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.2637 0.6363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5470 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5470 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00090 SERINGA DESC 20 ML UN 1.6100 1.6000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2761 0.2039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.0935 0.8265 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.2200 2.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 50385 CETOPROFENO 100 MG PO IV FA 7.7800 7.7768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 22171 ATADURA CREPOM 10 CM UN 2.3800 0.0000 2.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.5100 0.1770 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00069 SERINGA DESC 10 ML UN 0.6700 0.6678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00069 SERINGA DESC 10 ML UN 0.6700 0.6678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5150 0.0850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.7900 0.9100 0.8800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 7.1259 4.7541 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 53347 REMIFENTANIL 2 MG PO IV ML 2.4000 2.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1243 0.0557 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.8200 0.5639 0.2561 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0905 0.0995 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6010 0.3990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6140 0.4060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.0170 0.6730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.7200 1.0350 0.6850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4587 1.1513 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 21865 ACIDO TRANEXAMICO 50 MG/ML 5 ML SI 0.0000 17.5396 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7299723a7cf9bbc33b824d361f0945a3 ANA NULL NULL 12005380619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030212818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6fb82ee377634e4132cfc6e1adcaa8e0 GABRIEL NULL NULL 12058260917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2e2f03e046097465ccdb246bcd3e2aa7 JUAREZ NULL NULL 12007210215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3981 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5480 0.1220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7200 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7200 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00348 DIPIRONA 500 MG CP VO UN 0.8200 0.8190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00348 DIPIRONA 500 MG CP VO UN 0.8200 0.8190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00447 CLORIDRATO DE BUPIVACAINA GLICOSE GE 6.2600 6.2594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00447 CLORIDRATO DE BUPIVACAINA GLICOSE GE 6.2600 6.2594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 17744 FIO PROLENE 3-0 C/ AGULHA 2,5 1/2 8 0.0000 45.6896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 53349 CORDA GUIA 0,14 CONVENCIONAL 200.0000 100.0000 100.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 7.7600 6.8900 0.8700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.4800 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51181 POVIDINE TINTURA 1.2000 0.5000 0.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 0.0000 7.8894 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8693 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 0.6700 0.6688 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.6000 2.1380 0.4620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3032 0.0968 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1263 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1263 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9395 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 000501 OXIGENIO 5.9500 4.3390 1.6110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7479 0.2121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51584 ESPARADRAPO MICROPORE 0.5100 0.1410 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6859 0.3341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51419 FILTRO DE BARREIRA 24.0000 18.0000 6.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 2.1500 2.1480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7138 0.0962 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3539 0.0461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0750 1.5350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00098 ABOCATH N 14 A 22 UN 3.7700 3.7667 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9350 0.7350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5600 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00031 AGULHA DESC 13 X 45 UN 0.5800 0.5690 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51230 AGULHA DESC 30 X 7 - 40X12 UN 11.5100 9.9271 1.5829 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.8700 0.7503 0.1197 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.8600 0.7418 0.1182 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 1.0800 0.9720 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.0200 0.7660 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4570 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8730 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.9172 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1975 0.0725 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3434 0.0066 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0090 0.0210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51584 ESPARADRAPO MICROPORE 0.7700 0.4200 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8330 0.8370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51584 ESPARADRAPO MICROPORE 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51584 ESPARADRAPO MICROPORE 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4950 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1656 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8220 0.1780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8220 0.1780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1520 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00096 ABOCATH N 14 A 22 UN 3.7700 1.6146 2.1554 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00097 ABOCATH N 14 A 22 UN 3.7700 1.6146 2.1554 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2580 0.2520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.1900 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7192 0.8908 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 1.0000 0.9985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.8500 0.8400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.2400 0.1780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51419 FILTRO DE BARREIRA 24.0000 0.0000 24.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.1000 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1700 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1700 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 52982 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV 6.6900 6.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00563 ATROPINA 0,50 MG SI IV AP 0.6500 0.6488 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9479 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 5.5752 2.3148 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7360 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 1.9196 0.9604 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00170 SORO GLICOSADO 5% 250 ML SI IV BS 10.1900 8.2743 1.9157 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51584 ESPARADRAPO MICROPORE 0.5500 0.3632 0.1868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.3606 0.1694 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7567 0.8533 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.1900 0.1494 0.0406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1573 0.0327 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 37702 FIO PROLENE 4.0 C/ AGULHA 2,0 1/2 9 0.0000 91.5280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.4696 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 11.8766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9388 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00111 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3197 0.0103 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1536 0.0264 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8682 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51242 SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN 38.8100 19.4072 19.4028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51584 ESPARADRAPO MICROPORE 0.5100 0.4090 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2770 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6790 0.5310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 3.6000 0.0000 3.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 3.6000 0.0000 3.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.8400 0.0000 0.8400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 5.7900 3.3000 2.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 18333 ALFENTANILA 0,544 MG/ML 5 ML SI IV 0.0000 6.3773 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 6.5688 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3962 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3963 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2360 0.0640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 0.2573 6.5627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.0911 0.8489 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51584 ESPARADRAPO MICROPORE 0.5100 0.2910 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1025 0.0775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 01775 ATADURA CREPOM 30 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 61824 LEVOBUPIVACAINA 0,75 C / VASO SI P 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.1064 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 33227 LUVA CIRURGICA UN 0.0000 2.8950 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 29874 PROPOFOL 1% SI IV ML 0.0000 10.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 19160 SERINGA DESC 20 ML UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 18333 ALFENTANILA 0,544 MG/ML 5 ML SI IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 61824 LEVOBUPIVACAINA 0,75 C / VASO SI P 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 43.1910 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 000501 OXIGENIO 0.0000 35.7120 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 13757 IODOPOVIDONA SD TP ML 0.0000 0.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 54640 STENT PERIFERICO AUTO-EXPANSIVEL AT 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 56219 ENDOPROTESE ILIACA (EXTENSAO) UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03905 CATETER BALAO PARA ANGIOPLASTIA PER 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5200 0.2835 0.2365 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00111 ABOCATH N 14 A 22 UN 3.7700 3.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 20010010 Eletrocardiograma - Ecg 16.5300 13.7800 2.7500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00760 CLEXANE (ENOXAPARINA) 20 MG SI IV SC SE 20.0400 10.0200 10.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 4.4538 1.4862 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2270 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.0983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1260 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 2.9656 2.9644 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 53070 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV 18.1400 18.1365 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51660 BROMETO DE IPRATROPIO SL IN GT 0.0200 0.0000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0880 0.4420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0900 0.0000 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51584 ESPARADRAPO MICROPORE 0.5100 0.2180 0.2920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2200 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.5199 0.3701 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.5500 0.5000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4291 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5800 22.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 1.9200 0.9600 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2100 0.2050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 0.2600 0.1760 0.0840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4268 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3500 0.3340 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0751 0.3749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0050 0.1950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2700 0.2360 0.0340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.5200 0.4550 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 92.4800 83.6806 8.7994 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.2960 1.2940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 17252 LIDOCAINA 2% GE OU TP GR 7.7800 3.8920 3.8880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0009ba6bad5451e560474ca63122de13 EVALDO NULL NULL 12051961616 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058045310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003592219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 be3556c5a9ce174c3ec9bb85732d83f3 VANESSA NULL NULL 12011483415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 74d863f9998a940e6705a93e70409e1f DIVINA NULL NULL 12077603512 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 4b887a7636112ab482bad977540c91da LUIZ NULL NULL 11989224518 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7181860cef1b9f4768d9fe1f5f0046db EVLYN NULL NULL 11996649116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 91ec20448357f60543ef957c658a4cf6 VANDEILSON NULL NULL 11996369210 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12072311417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9064dd126f1f7e44d6b520c8fd036fa1 GEOVANA NULL NULL 12010656610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12006669917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 feca6744faebaae3c6b10bad493c5b70 ANESIA NULL NULL 11994450510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1deff3c2df599408cc251d9242b527f3 WANDERNILSON NULL NULL 11996505617 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990173618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 52e5f84bf44cf5b2408012e2d3609b04 ROSA NULL NULL 11996260013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11996707819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 11996340811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a8d8473580cdb4b695d43f4793b9c628 ANDRE NULL NULL 11994465011 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12058334618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 51eb703cd1de2e27983c741f79a2540d CHRISTIANNE NULL NULL 12009851917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6665caf02a79018454f572ff6f8456cd RODRIGO NULL NULL 12071556611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1159084aa8ddf656db18d4edda9f0722 IUCATAN NULL NULL 12009804917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056467615 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 97.1500 97.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 11.4630 0.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7565 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7565 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3032 0.0968 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 8.9049 8.9051 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 5.9399 5.9401 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 2.9699 2.9701 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.7700 0.7694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.5100 0.5096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.5100 0.5096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.5280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 1.6100 1.6060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 5.4130 4.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00098 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51230 AGULHA DESC 30 X 7 - 40X12 UN 6.1100 4.2518 1.8582 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1610 0.0290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52982 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV 6.6900 6.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1340 0.3960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO 13.3300 13.3267 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 176.7300 176.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 88.3600 88.3598 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 52216 GLICOSE 50% 20 ML SI IV AP 3.2000 1.6017 1.5983 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.2970 1.2930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00904 NORIPURUM EV 20 MG/ML 5 ML SI IV AP 18.8200 18.8150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 20.9032 5.2268 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 20.9032 5.2268 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.0200 0.3140 0.7060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2270 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00098 ABOCATH N 14 A 22 UN 7.5300 7.5274 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3820 0.1280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0300 1.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0300 1.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 5.3800 5.3710 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2262 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4200 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8429 0.7671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1676 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1761 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6662 0.3338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 03280 CLOREXIDINA 2 % ST TP ML 2.6600 1.9930 0.6670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51584 ESPARADRAPO MICROPORE 1.7900 0.5970 1.1930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51589 ESPARADRAPO 10 X 4.5 CM CM 1.0000 0.5630 0.4370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7090 0.4910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00031 AGULHA DESC 13 X 45 UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 33227 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3060 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51584 ESPARADRAPO MICROPORE 0.5100 0.3060 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2008 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3673 2.3627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4893 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.2637 0.6363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4548 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9392 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5474 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.2100 2.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 60038 BISOPROLOL 5 MG CP VO UN 2.0200 2.0156 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.0000 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0060 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1770 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8765 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0210 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 03280 CLOREXIDINA 2 % ST TP ML 1.6000 0.2713 1.3287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.8100 0.8090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2200 0.2170 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2500 0.2460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3200 0.3150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.2600 0.1400 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 53347 REMIFENTANIL 2 MG PO IV ML 2.4000 2.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9132 0.4968 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 15784 OXACILINA 500 MG + DIL. 3 ML PO IM 0.0000 36.3184 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 2.2550 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 1.0800 0.9200 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 6.4600 5.5000 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1237 0.0563 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1237 0.0563 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.3800 0.1810 0.1990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3500 0.2130 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6140 0.4060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9505 2.1795 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 43.1900 22.4572 20.7328 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 3.1768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1400 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2900 0.2530 0.0370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.5200 0.4550 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 52.8500 47.8214 5.0286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 63.8600 57.7838 6.0762 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 79.2700 71.7276 7.5424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7762743f166ed136b53ad6f351945a8e TEREZA NULL NULL 12047409710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12057982112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9b55d4c208ea6fd82ca4115295943d95 SIRLEI NULL NULL 12078243010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 e23d44f0f664478f0fab50f0e578b1b0 AUTILIA NULL NULL 12010773911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12061943415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6720419d56ac643545ccf13e6b37472e MARIA NULL NULL 11990224717 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3029df81639bfcfa7c8b0da3103a7671 ELIETE NULL NULL 11989170014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11996466813 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 114387113ee32b6d1eaa515c270293af MARIA NULL NULL 12010901510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f107652dbc39160d0f4169ab2dde78e3 GERALDO NULL NULL 11994251712 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 76cda44fc4f696c69fc2698351fc0cae IVONE NULL NULL 12011537516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 05fe7c41e4d93d08f34a753ad28cf235 HILDA NULL NULL 12078066111 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d88bef26a13d2ded818a03f873db5fee ELENISSE NULL NULL 12006862416 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7908292c7879ccf52c907a77bc03ffde PRISCYLLA NULL NULL 12011062914 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003499813 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 11996552715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 67d82805dde5eaa426165d6ad27a9cca DOMINGOS NULL NULL 11996202913 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8e9deacb137a6da2e51f2508aa9aefff MARIA NULL NULL 12060226117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0009ba6bad5451e560474ca63122de13 EVALDO NULL NULL 12057156413 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d85f65c150c68102a13702e4149884af RANULFO NULL NULL 12006692610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00096 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 3.3280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.6700 0.5170 0.1530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0906 0.0894 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.5070 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 23.3600 23.3590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.7700 0.5400 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.2600 0.1900 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.2600 0.1900 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.2600 0.1570 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 4.3400 2.7605 1.5795 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 1.4500 0.9222 0.5278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00097 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3075 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.7700 0.4740 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.2600 0.1600 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4870 0.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 3d59def7b386631d5b4fd7249cb9ced6 ONDUMAR NULL NULL 11995767320 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 b1ea63aad5ef35f90ca905e2bfea8fde MERCIA NULL NULL 11998393529 32020040 COLUNA DORSAL AP LATERAL 0.0000 24.0850 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 48b7b2f130435eb9fc2fa81b0e8bbb51 MARA NULL NULL 11994485426 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 74d863f9998a940e6705a93e70409e1f DIVINA NULL NULL 12077607825 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 32f818c70e8b80ce0ff4b9c7031e40b5 ANDRELINA NULL NULL 12061220029 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 9114d3d07c8ddd580e6aa9e6de9413a8 ROSALIA NULL NULL 12010876820 32050054 TORAX PA LAT 0.0000 14.1474 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12041704320 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12056909824 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 00919 ALGODAO HIDROFILO BOLINHA UN 0.0500 0.0498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 12793 LAMINA BISTURI N 20, 22 E 24 UN 1.4827 0.9148 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00124 LUVA CIRURGICA UN 2.9000 2.8975 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.1281 0.5419 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.9585 0.9815 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 03280 CLOREXIDINA 2 % ST TP ML 0.5600 0.3600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7510 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 51584 ESPARADRAPO MICROPORE 1.7900 1.7870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2168 0.0532 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0880 0.4420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 05290 AMOXICILINA 1 G + CLAVULANATO 200 M 0.0000 36.4655 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 98.2560 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13420 BENAZEPRIL 5 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.5000 0.4500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 12.8500 12.8471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24511 FIO ETHBOND 2-0 C/ AGULHA 2,75 1/2 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 000425 TAXA DE ARTROSCOPIA CIRURGICA 0.0000 0.0000 NULL PROCEDIMENTO NAO REALIZADO OU NAO I 0403
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5700 22.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5800 22.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 11193 CLOREXIDINA 2 % ST TP ML 0.0000 2.1280 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 1.4640 1.0960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 1.9200 0.9600 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 1.9200 0.9600 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 1.5400 1.0480 0.4920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 0.7700 0.5240 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3060 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.1500 3.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.1500 3.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1291 3.2809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1286 3.2814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3178 0.0822 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2179 0.3721 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2182 0.3718 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 97.1500 97.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5897 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 11.4630 0.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 23990 FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 0.0000 42.1968 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 31488 PARACETAMOL 750 MG CP VO UN 0.9100 0.9050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 19.2400 19.2382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 16.1800 16.1742 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 50385 CETOPROFENO 100 MG PO IV FA 15.5500 15.5472 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1390 0.3710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 16.3760 8.1840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4100 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.8400 0.5100 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 53347 REMIFENTANIL 2 MG PO IV ML 2.4000 2.3990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4438 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 8.1300 8.1284 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 24.3800 24.3752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00097 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.5100 0.5096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.5100 0.5096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.5100 0.5096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.7700 0.7694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.8200 1.8186 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00471 LIDOCAINA 2% GE OU TP GR 10.3800 5.2865 5.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 3.0700 3.0656 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1630 3.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5499 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 11.4630 0.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 22.9260 1.6340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0320 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5886 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 3.0000 2.5380 0.4620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 0.2600 0.1760 0.0840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 12.4061 1.2239 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5800 22.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.4500 0.4100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.4800 0.8646 0.6154 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5820 0.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9730 0.6970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0900 0.0000 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3744 0.1056 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1762 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2589 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5071 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.5369 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.5100 0.2100 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1659 0.0041 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0110 0.0190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1767 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1970 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3710 0.0290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3830 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5600 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5600 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 53068 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV 60.2200 36.1345 24.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 2.0189 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51584 ESPARADRAPO MICROPORE 0.7700 0.2880 0.4820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.7370 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2166 0.0534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 1.4500 0.8300 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 1.4500 0.8300 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00111 ABOCATH N 14 A 22 UN 3.7700 3.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.0499 0.9101 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 18.7500 4.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 20.0970 4.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1410 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6430 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51584 ESPARADRAPO MICROPORE 0.5100 0.4090 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6000 0.5948 0.0052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP 0.0000 4.2697 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4366 0.0434 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.0474 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7138 0.0962 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.0060 0.8340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.4000 2.1743 0.2257 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51419 FILTRO DE BARREIRA 24.0000 18.0000 6.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2500 0.2495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4640 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2430 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6121 0.1979 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2478 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 23.7500 11.8749 11.8751 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 2.9699 2.9701 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 2.9703 2.9697 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.0000 0.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.4400 0.0000 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 16.2600 16.2568 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4440 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.7500 2.7470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3564 0.0436 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.2600 0.0740 0.1860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00095 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3600 0.2200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3600 0.2200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3600 0.2200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3600 0.2200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0900 0.0500 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.0125 0.5775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1270 0.1830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 16.1800 16.1742 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 32190 CLORETO DE POTASSIO 10% 10 ML SI I 0.0000 0.2967 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 51649 ALCOOL ETILICO 70 % ST TP ML 0.2400 0.1300 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4176 0.1724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 4.8600 2.6508 2.2092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00098 ABOCATH N 14 A 22 UN 7.5300 7.5274 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.8000 0.2660 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.1900 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.1900 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7930 0.9370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7320 0.2680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.2637 0.6363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9392 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01485 HALOPERIDOL 5 MG/ML 1 ML SI IM IV AP 5.5500 5.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5474 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 60038 BISOPROLOL 5 MG CP VO UN 2.0200 2.0156 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 50385 CETOPROFENO 100 MG PO IV FA 7.7800 7.7768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 1.4500 1.1271 0.3229 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 6.3500 3.1743 3.1757 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.1000 1.4900 0.6100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2610 0.0690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 1.7900 0.6210 1.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51584 ESPARADRAPO MICROPORE 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51584 ESPARADRAPO MICROPORE 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1310 0.1290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 03280 CLOREXIDINA 2 % ST TP ML 1.6000 0.2713 1.3287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0180 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00069 SERINGA DESC 10 ML UN 1.0000 0.9968 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8330 0.1670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.2600 0.1320 0.1280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 1.0200 0.5180 0.5020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 53347 REMIFENTANIL 2 MG PO IV ML 2.4000 2.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 29.2100 9.7300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 1.6100 1.3700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1237 0.0563 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0905 0.0995 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 53047 FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV 18.0800 18.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 53047 FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV 72.3000 72.2960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 53051 POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 73.2200 73.2195 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 1.5500 1.5270 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1872 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 14.4000 7.4874 6.9126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.3311 0.2189 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 12.5800 11.8925 0.6875 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2877 0.1123 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 54653 DERSANI LC TP ML 0.0000 14.5500 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 4.6900 3.9730 0.7170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.2970 1.2930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51584 ESPARADRAPO MICROPORE 0.5100 0.3850 0.1250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 1.6000 1.1980 0.4020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2700 0.2360 0.0340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 67.3800 60.9689 6.4111 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0300 1.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3968 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00097 ABOCATH N 14 A 22 UN 7.5300 7.5290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2581 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.7700 0.6290 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1872 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 18.9400 16.5795 2.3605 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 03280 CLOREXIDINA 2 % ST TP ML 0.5700 0.3600 0.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 0.0000 3.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0750 1.5350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2190 0.4510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1484 0.1316 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00098 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.0200 0.2800 0.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0800 0.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0800 0.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00124 LUVA CIRURGICA UN 2.9000 2.1712 0.7288 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00097 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51163 AGUA BIDESTILADA 250 ML 5.7900 0.0000 5.7900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 2.3000 0.0000 2.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1261 0.0539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.6700 0.5059 0.1641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1067 0.2133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51208 SORO RINGER SIMPLES 500 ML SI IV BS 23.7500 23.7476 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 1.0000 0.9982 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6300 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6200 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51584 ESPARADRAPO MICROPORE 0.5100 0.1850 0.3250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0581 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 6.5688 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12024747314 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 010c281735139d8e0d4fd83d44bd4e80 MARIA NULL NULL 12006841819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1c3b5cd05f5bdeb8c27d898f4f252fbd TEREZINHA NULL NULL 12029163917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055762915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00464 LIDOCAINA 2% C/ VASO SI IM PE ML 13.6300 6.8130 6.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7200 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7200 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 4.4300 3.4400 0.9900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.1300 1.1240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3560 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5892 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025668814 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 bd06adc67f7cd92b936dca502e3e176d MARIA NULL NULL 12058049919 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018607111 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048827018 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063009010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8d8b07f3d61823143c1ad0a82684d9bd IARA NULL NULL 12003606010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 747a53ccbc4b30af182473746fae316e ANDREA NULL NULL 11992618111 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ee46182a5d49d09e9b26f020c3d4ceea ARTHUR NULL NULL 12067431719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7d2ef689631c16d40f4fd6707f4591bf INACIO NULL NULL 12011648417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11994777912 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00515 INTRACATH ADULTO UN 0.0000 36.4062 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 40.5568 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7592 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3489 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.4639 0.0561 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4870 0.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.2600 0.1670 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.2600 0.1570 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cef574f418a021f3c9d9e5b489982f34 MARIA NULL NULL 12011386716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 da2511c89116844d8c7e6b81de48ea43 BYANNA NULL NULL 12077577510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3beed7eed9852ae65f41ed6ef8ecb21d IOLANDA NULL NULL 11996262715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d4291fba863aa4681ee81198f2868d63 HERMINIO NULL NULL 12061628913 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5ea6a6002c8e83f6d421220320b9a7dd MARLENE NULL NULL 11996577213 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5b588b1db1fe12e061ed2cd7e92b49be NEUSA NULL NULL 11989279614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 76bc622d66d20e2144fe5a0db095d82a ANA NULL NULL 12071587313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ba515b35f484531efcb83291ca7cc038 ROBERTA NULL NULL 12006889910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a9a20f7fc04eb9acc980656e0263aedf CLEUSA NULL NULL 11996120110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51503 Levotiroxina 100mcg - Cp 0.2400 0.1800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015204713 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 56e0e7d9a4cda287758cf0672bdd2cee MARIA NULL NULL 12045354417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2bdbf71cf8e00c7d8470c1b0855711bf APARECIDA NULL NULL 12029930016 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12041825719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.5100 0.3700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.7700 0.5400 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.9000 0.4700 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 21.1100 21.1090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 1.6100 1.2300 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0901 0.0899 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 1.6100 1.6040 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12880 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN 27.0800 0.0000 27.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1843 0.0557 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51230 AGULHA DESC 30 X 7 - 40X12 UN 7.6300 7.5388 0.0912 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54295 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL FOTOSENSIVEL UN 37.0600 0.0000 37.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 2.3600 1.7752 0.5848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00238 ATADURA CREPOM 15 CM UN 1.1700 0.0000 1.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4197 0.2803 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0300 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 76c395111a1dd6cd69e8903e23284f13 PAULO NULL NULL 12041675818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6400 2.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 32050038 RX Tórax: P. A. 15.7500 7.8760 7.8740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2820 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3220 0.0780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.3799 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00090 SERINGA DESC 20 ML UN 1.0800 1.0780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.7700 0.1710 0.5990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9900 0.2853 0.7047 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.4200 0.6976 1.7224 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.2000 0.1600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.4000 0.3000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.4800 0.7300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.7700 0.7631 0.0069 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.2600 0.1360 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3580 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 19.4700 19.4700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 2.4700 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 2.4700 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51241 AGULHA 123X45 0.5700 0.0000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2185 0.3715 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20010010 Eletrocardiograma - Ecg 16.5300 12.3900 4.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.4252 0.1048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0521 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.5400 0.3486 0.1914 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 1.2760 0.2240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8170 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51977 ERITROPOIETINA 4.000 UI PO IV SC 0.0000 133.8855 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2437 0.2463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5820 0.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1940 0.1360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.5199 0.3701 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.5202 0.3698 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5700 22.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2120 0.0580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 18.7500 4.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51584 ESPARADRAPO MICROPORE 0.5100 0.4100 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 1.0260 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 3.3700 3.0531 0.3169 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6130 0.3870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00098 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01103 SONDA FOLEY 2 VIAS N 18 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 54767 CATETER ROTALINK PARA ATERECTOMIA ROTACIONAL (ROT 3900.0000 0.0000 3900.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3610 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12052553813 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12050994013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b6170b5ed4df639951ec9fbc4a4a20e1 RAYANNE NULL NULL 12018671112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8430 0.7670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 38.5400 35.0410 3.4990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 68.7000 62.4615 6.2385 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 110.9800 100.9021 10.0779 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8193 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 54767 CATETER ROTALINK PARA ATERECTOMIA ROTACIONAL (ROT 3900.0000 0.0000 3900.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 26.1600 26.1589 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4930 0.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1874 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1874 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.9800 0.9740 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.9800 0.9740 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.8000 0.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1300 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 06501 ATORVASTATINA CALCICA 20 MG CP VO UN 2.8600 1.4300 1.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51240 FITA ADVANTAGE P/ GLICOSE UN 12.9400 12.9397 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.0725 0.0575 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 18716 RISPERIDONA 1 MG CP VO UN 0.0000 0.9990 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 33359 TRAMADOL 100 MG 2 ML SI IM IV AP 11.9800 11.9785 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7770 0.2230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 0.6600 0.5500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54687 IODOPOVIDONA SD TP ML 0.6000 0.3800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54687 IODOPOVIDONA SD TP ML 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7957243ac3411146b9196692460875aa RENARLY NULL NULL 12049158610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024105213 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 12045469818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018679317 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057946519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3d57ded22172940a3312c4a3ec0198a9 WAGNER NULL NULL 12006912812 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.2500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.5300 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 08460 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U 0.0000 16.3969 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 345c226bfea274af1372d41b0305a6c8 ALTINO NULL NULL 12078231510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 11996362416 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51584 ESPARADRAPO MICROPORE 0.7800 0.7759 0.0041 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1310 0.1290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1294 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 07897 EFEDRINA 50 MG/ML 1 ML SI IM SC IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 33260 BROMOPRIDA 5 MG/ML 2 ML SI IM IV A 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 4.4719 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 55425 AGULHA P/ RAQUI 27GX3,5 UN 0.0000 23.3143 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 000501 OXIGENIO 0.0000 53.3200 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.2560 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.0240 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07722 DRENO DE SUCÇAO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6897 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00124 LUVA CIRURGICA UN 2.9000 1.4490 1.4510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4431 0.3669 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.3200 0.6400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00069 SERINGA DESC 10 ML UN 0.3300 0.1318 0.1982 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2310 0.0690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 03280 CLOREXIDINA 2 % ST TP ML 1.0600 0.5300 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 19445 CLORETO DE POTASSIO 600 MG CA VO U 0.0000 0.4875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 15016 NITROPRUSSIATO DE SODIO 50 MG + DIL 0.0000 27.3393 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 4.6960 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 01899 AMIODARONA 50 MG/ML 3ML SI IV AP 0.0000 4.3896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 992ce258cf73e450d019e370c7b0e144 RENNE NULL NULL 11958235131 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 19151 SERINGA DESC 10 ML UN 0.0000 0.9993 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54687 IODOPOVIDONA SD TP ML 0.4000 0.2600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51470 BICARBONATO DE SODIO 8,4% 250 ML SI IV FR 38.1100 19.0561 19.0539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54653 DERSANI LC TP ML 19.4000 14.5500 4.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3982 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2100 0.2060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 1.5400 1.0480 0.4920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.8000 0.6020 0.1980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.6000 0.4520 0.1480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 1.5240 0.2760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3416 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 48.5700 48.5690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 11.4630 0.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 11.4660 0.8140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 21.3900 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51649 ALCOOL ETILICO 70 % ST TP ML 0.2100 0.0600 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 337.4100 16.2210 321.1890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1630 3.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.7700 0.7694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.7700 0.7694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00096 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.4400 0.0000 3.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 8.1300 8.1285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8876 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00563 ATROPINA 0,50 MG SI IV AP 0.6500 0.3245 0.3255 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.0770 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 9b55d4c208ea6fd82ca4115295943d95 SIRLEI NULL NULL 12078246325 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ba515b35f484531efcb83291ca7cc038 ROBERTA NULL NULL 12006907723 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 11994267525 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 b1ea63aad5ef35f90ca905e2bfea8fde MERCIA NULL NULL 11998356623 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ab2d48fa1f4531c965adf34f6ff66d78 LACORDIOIRA NULL NULL 11995918720 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 191c3bbfae3d1165b382fc3d86e1d427 INACIO NULL NULL 12076430523 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7d2ef689631c16d40f4fd6707f4591bf INACIO NULL NULL 12011653524 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 11996357720 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 52726 SUFENTANILA 50 MCG/ML 1 ML SI IV PE AP 19.1600 19.1585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00125 LUVA CIRURGICA UN 2.6700 2.1351 0.5349 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 53349 CORDA GUIA 0,14 CONVENCIONAL 400.0000 266.6600 133.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 53349 CORDA GUIA 0,14 CONVENCIONAL 200.0000 133.3400 66.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 1840.0000 1226.6600 613.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 460.0000 306.6700 153.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 11.8766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 5.0984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 52353 ABAIXADOR DE LINGUA UN 0.0000 0.0256 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 07390 DOBUTAMINA 250 MG 20 ML SI IV FR 0.0000 20.9885 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.2471 0.6229 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 1.7900 1.4280 0.3620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00069 SERINGA DESC 10 ML UN 0.6700 0.2672 0.4028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.4300 0.2600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.3200 0.6400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4431 0.3669 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7470 0.1530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5336 0.1664 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51419 FILTRO DE BARREIRA 24.0000 18.0000 6.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 a9b1dde9b36eab5f8cd2f38da139eedb NEIDE NULL NULL 12011543729 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 bd06adc67f7cd92b936dca502e3e176d MARIA NULL NULL 12058051621 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12006763623 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 1aa6c25548fb702a04ad985c3ee49674 DALILA NULL NULL 12052498328 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 7.3708 2.0992 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 07181 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO 0.1400 0.1100 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00826 TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I 4.3800 1.0956 3.2844 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00124 LUVA CIRURGICA UN 1.4500 1.4425 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.2100 0.2011 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.2100 0.2011 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 12793 LAMINA BISTURI N 20, 22 E 24 UN 1.3065 0.7930 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00097 ABOCATH N 14 A 22 UN 7.5300 7.5286 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00124 LUVA CIRURGICA UN 4.3400 4.3375 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3800 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.5814 0.2286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 42.1013 12.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3750 0.6250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 1.8600 0.8810 0.9790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2530 0.2770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 156.7600 125.4035 31.3565 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2270 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 28311 TORNEIRINHA DE 3 VIAS DESCARTAVEL UN 2.1000 1.0502 1.0498 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 28311 TORNEIRINHA DE 3 VIAS DESCARTAVEL UN 2.1000 1.0502 1.0498 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00095 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3750 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1940 0.1360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6940 0.2760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 3.8175 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4570 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8770 0.1230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1970 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.8200 0.0697 0.7503 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.3075 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 07650 DRENO DE PENROSE N-2 UN 0.0000 0.4484 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 5.9867 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1390 0.1210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6996 0.8504 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2180 0.2920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8765 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.5852 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 24546 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 0.0000 40.1468 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 19771 SONDA FOLEY 2 VIAS Nş 18 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 20575 SORO FISIOLOGICO 0,9% 1000 ML SI I 0.0000 5.8390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1573 0.0327 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2806 0.0494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.5000 1.4965 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0342 0.0158 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00220 ELETRODO DESCARTAVEL (UTI) UN 11.0700 9.0207 2.0493 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2787 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 3.3790 1.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 30.3902 7.5998 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 30.3900 7.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 27.9840 13.9960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7360 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2800 2.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3075 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3638 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.5500 0.5492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7549 0.0051 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.3300 0.3295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 1.0000 0.9985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7193 0.8907 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7192 0.8908 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1380 0.1320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7320 0.2680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2008 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3672 2.3628 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6907 2.2493 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.6321 0.3179 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.3432 0.3468 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 03280 CLOREXIDINA 2 % ST TP ML 0.1600 0.1376 0.0224 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5470 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9393 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1283 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.1100 1.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.1100 1.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3010 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1770 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.5100 0.1770 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7500 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3057 2.3043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8600 1.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.6200 0.6190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.6200 0.6190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00069 SERINGA DESC 10 ML UN 0.6700 0.6680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00069 SERINGA DESC 10 ML UN 1.0000 0.9968 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2200 0.2170 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 3.5629 2.3771 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 11304 HIDROCORTISONA 500 MG PO IM IV FA 6.3500 6.3444 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 1.6100 1.3700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0905 0.0995 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0905 0.0995 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00031 AGULHA DESC 13 X 45 UN 1.0600 0.5051 0.5549 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 2.0040 1.3260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0490 0.1510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7800 0.7684 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5600 1.5369 0.0231 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 78.3800 71.8407 6.5393 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 14.4000 7.4876 6.9124 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4272 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2408 0.0292 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1797 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0500 0.9980 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2900 0.1785 0.1115 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.5100 0.3139 0.1961 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.0940 0.5760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 1.4500 0.9227 0.5273 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 4.3400 2.7605 1.5795 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8530 0.3470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.5100 0.3700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3977 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1700 9.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.6000 0.3100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.9000 0.4700 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.9000 0.4700 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.5200 0.4550 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 77.9500 70.5332 7.4168 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 3.0000 1.5600 1.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51379 SERINGA DESC 05 ML UN 0.0000 0.5766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00124 LUVA CIRURGICA UN 5.7900 5.1400 0.6500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.3721 0.1179 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51230 AGULHA DESC 30 X 7 - 40X12 UN 6.7400 6.6594 0.0806 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2662 0.2538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2662 0.2538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061968218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f24bb6c233fd6c08921d6c3f40af5241 LICIA NULL NULL 12078081619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 81bf7bbe552c0ed1a55f254218901a22 APARECIDA NULL NULL 12072333218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 efa46440b0872c58c5119c31f285d51c IZETE NULL NULL 12010799210 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b1ea63aad5ef35f90ca905e2bfea8fde MERCIA NULL NULL 12061475117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3d59def7b386631d5b4fd7249cb9ced6 ONDUMAR NULL NULL 11995759919 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3f2f262aec608161be8d49b4b62763c9 CHAFI NULL NULL 12070599310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9d35f71ab5385db18ea06ce86d6d8c0d BRASITA NULL NULL 11996344516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3f939161ea0bfc2bd8de18e2f8bb5c4f EDITH NULL NULL 12000139118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 eaa58dad37ed83980acfc856d991be3d REGIANE NULL NULL 12003604712 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 48b7b2f130435eb9fc2fa81b0e8bbb51 MARA NULL NULL 11994187916 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51503 Levotiroxina 100mcg - Cp 0.2400 0.1800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12024840810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 71faa5b70e31e20684e64937a856ca2d ORLANDO NULL NULL 12057949118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12045406219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12056107610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016479818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.2500 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.2500 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.0499 0.9101 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0249 0.4551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0261 0.4539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 3.6000 0.0000 3.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51589 ESPARADRAPO 10 X 4.5 CM CM 2.0000 0.9730 1.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 7.2400 4.1300 3.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 1.4500 0.8300 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 19771 SONDA FOLEY 2 VIAS Nş 18 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 20575 SORO FISIOLOGICO 0,9% 1000 ML SI I 0.0000 5.8390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 22730 LIDOCAINA 2% C/ VASO SI PE ML 0.0000 13.6260 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 208.0025 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.2000 0.1900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.2500 0.2400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 22748 LIDOCAINA 2% GE TP OU GR 0.0000 1.2970 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8580 0.1420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8550 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00095 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0750 1.5350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 1.4180 0.9820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51584 ESPARADRAPO MICROPORE 1.7900 0.5970 1.1930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51584 ESPARADRAPO MICROPORE 0.7900 0.4850 0.3050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3000 1.2991 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 00097 ABOCATH N 14 A 22 UN 7.5300 7.5290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1450 0.1150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5891 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7565 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8550 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51584 ESPARADRAPO MICROPORE 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2610 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8429 0.7671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8429 0.7671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4587 1.1513 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6300 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 0.5500 0.1900 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.1200 0.0960 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00096 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 53068 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV 20.0700 12.0429 8.0271 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6130 0.5970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 0.0000 3.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.0911 0.8489 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3120 0.6880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2228 0.1072 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1025 0.0775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 171.9480 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 38210 FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 0.0000 41.8633 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 01724 ATADURA CREPOM 10 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 01740 ATADURA CREPOM 15 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 23990 FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 0.0000 61.0784 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 103001 DIARIA DE U.T.I. UNIDADE DE TERAPIA 0.0000 709.5575 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 13757 IODOPOVIDONA SD TP ML 0.0000 0.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 58688 ENXERTO ENDOVASCULAR C/ RAMIFICAÇAO 0.0000 49500.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 22748 LIDOCAINA 2% GE TP OU GR 0.0000 1.2970 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 33227 LUVA CIRURGICA UN 0.0000 2.8950 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 11193 CLOREXIDINA 2 % ST TP ML 0.0000 1.0640 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00097 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1472 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 0.5700 0.1900 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 5.9817 0.8383 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2800 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2647 0.0853 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 52216 GLICOSE 50% 20 ML SI IV AP 3.2000 1.6017 1.5983 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1797 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 176.7300 176.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51584 ESPARADRAPO MICROPORE 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 51584 ESPARADRAPO MICROPORE 0.5100 0.2570 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.7700 0.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00348 DIPIRONA 500 MG CP VO UN 0.2700 0.2690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3180 0.2120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8000 0.4441 0.3559 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2000 0.6660 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.5900 0.8824 0.7076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3897 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 0.7982 0.4018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 1.3190 1.3210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 4.4537 1.4863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3420 0.4280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3420 0.4280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7740 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00124 LUVA CIRURGICA UN 1.4500 0.7238 0.7262 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 18716 RISPERIDONA 1 MG CP VO UN 1.0000 0.9970 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 2.9655 2.9645 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.2560 0.5140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00124 LUVA CIRURGICA UN 4.0000 3.1985 0.8015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51218 TICAGRELOR 90 MG CP VO UN 3.8800 1.9400 1.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 13749 MARCAPASSO CARDIACO MULTIPROGRAM. C 0.0000 4324.3398 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00090 SERINGA DESC 20 ML UN 1.0800 1.0780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0700 1.0620 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2437 0.2463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2120 0.0580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 15016 NITROPRUSSIATO DE SODIO 50 MG + DIL 0.0000 27.3393 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 07390 DOBUTAMINA 250 MG 20 ML SI IV FR 0.0000 20.9885 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 19.2000 10.9700 8.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 30970 ENALAPRIL 20 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1398 0.1202 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00098 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00098 ABOCATH N 14 A 22 UN 3.7700 3.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2740 0.0560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2940 0.2160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.0000 0.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1607 0.0293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1607 0.0293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0500 0.6410 0.4090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0600 0.6470 0.4130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 4.4483 1.4817 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1787 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 11.5176 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 7.6476 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 17760 FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 0.0000 10.0559 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 57.5880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.1900 0.1494 0.0406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0341 0.0159 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7566 0.8534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7566 0.8534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.3606 0.1694 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.1719 0.0881 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51584 ESPARADRAPO MICROPORE 0.5500 0.3632 0.1868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2700 2.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 11193 CLOREXIDINA 2 % ST TP ML 0.0000 1.0640 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 29793 EXTENSOR DE PRESSAO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 29700 HENETIX (IOBITRIDOL) 300 MG/ML SI 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 21865 ACIDO TRANEXAMICO 50 MG/ML 5 ML SI 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13757 IODOPOVIDONA SD TP ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1812 0.0088 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 000501 OXIGENIO 0.0000 835.1400 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 20630 SORO GLICOSADO 5% 1000 ML SI IV B 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.2800 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 19666 SONDA ENDOTRAQUEAL PVC C/B Nş 8,0 U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 000501 OXIGENIO 5.9500 4.3390 1.6110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 51584 ESPARADRAPO MICROPORE 1.5400 1.5350 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 12793 LAMINA BISTURI N 20, 22 E 24 UN 1.4520 0.9148 0.1452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 26083 Prolopa 50/200mg Cp. 2.1200 2.1100 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12000690913 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 e6fe25f9236d5bbe375cf43961cf6e93 MARTA NULL NULL 12018827910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 631537f0907209ba5f2227f58eb601d3 MARCO NULL NULL 12057430315 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b4215705e804b8acf7dc23b8eae7bbfb JOSE NULL NULL 12007164112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00182 SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP 1.3600 0.6786 0.6814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 55913 CISATRACURIO 10 MG 5 ML SI IV FR 0.0000 60.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 01929 ATROPINA 0,50 MG SI IV AP 0.0000 0.6489 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 1.9984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 1.0000 0.9982 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5345 0.1155 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5345 0.1155 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6121 0.1979 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9827 0.4273 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8788 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3820 0.1280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 03280 CLOREXIDINA 2 % ST TP ML 2.6600 1.7110 0.9490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2490 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1400 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3099 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51584 ESPARADRAPO MICROPORE 0.5200 0.2835 0.2365 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2781 0.2319 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1484 0.1316 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1486 0.1314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51584 ESPARADRAPO MICROPORE 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6840 0.2160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51241 AGULHA 123X45 0.0000 0.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.4270 0.8530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2490 0.0810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.5000 0.0000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7919 0.1681 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6510 0.1590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 9.5000 9.4965 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.7593 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.7593 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0310 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1433 0.5867 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 8.4614 1.0086 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2281 0.5019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 1.4800 0.7403 0.7397 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 0.9800 0.4902 0.4898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54653 DERSANI LC TP ML 19.4000 14.5500 4.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3981 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51218 TICAGRELOR 90 MG CP VO UN 3.8800 1.9400 1.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 37729 FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 0.0000 36.1372 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 4.9700 4.9640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51589 ESPARADRAPO 10 X 4.5 CM CM 0.6000 0.3630 0.2370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.3790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5555 0.4045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5500 0.4490 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.5100 0.4160 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 56472 OCLUSOR INTRASEPTAL ATRIAL UN 0.0000 25067.5195 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0ee9f8c972c68f19f9e1c6acbfc2a0cd DARC NULL NULL 12007039114 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 efa46440b0872c58c5119c31f285d51c IZETE NULL NULL 12007044615 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5cb8acec08495318d2d1c6ec0d7b2952 MARIA NULL NULL 12006964318 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 12058246014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 67d82805dde5eaa426165d6ad27a9cca DOMINGOS NULL NULL 12042276110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12049166710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 fe59d59ffbe450357d0892baa454996b WANDEIR NULL NULL 12007113310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 5.7900 4.4990 1.2910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4100 0.3200 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4325 0.2375 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11986636320 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 9c845e8d3972fd89861a8f9bc8efc7f9 AURITA NULL NULL 12061941626 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 11993596322 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 3f939161ea0bfc2bd8de18e2f8bb5c4f EDITH NULL NULL 12000140422 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 8d8b07f3d61823143c1ad0a82684d9bd IARA NULL NULL 12003618422 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 33412c768076658c2408f8cf398e8059 IRACILDA NULL NULL 11996524926 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 d85f65c150c68102a13702e4149884af RANULFO NULL NULL 11996339928 32050054 TORAX PA LAT 0.0000 14.1474 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.3800 0.1043 0.2757 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2775 0.0525 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2775 0.0525 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4200 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2800 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2800 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0900 0.0500 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1326 0.0574 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.9076 0.6824 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54687 IODOPOVIDONA SD TP ML 0.8000 0.3400 0.4600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.0251 1.1549 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.0125 0.5775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 9.7300 5.3070 4.4230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 88.3600 88.3594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2800 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 54687 IODOPOVIDONA SD TP ML 0.6000 0.4700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4989 0.1011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4989 0.1011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4730 0.2970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.8301 0.3499 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00098 ABOCATH N 14 A 22 UN 3.7700 3.7686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00111 ABOCATH N 14 A 22 UN 3.7700 3.7688 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3820 0.1280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3980 0.1320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2786 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 102001 DIARIA DE APARTAMENTO 288.8800 216.6659 72.2141 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 98.3800 76.5217 21.8583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 2.4700 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 2.4700 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 19.4700 19.4700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5894 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6724 0.3476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6594 0.3406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1735 0.2265 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0890 0.2110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7700 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2800 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1700 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1600 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 17252 LIDOCAINA 2% GE OU TP GR 7.7800 7.7789 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52771 FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV 42.2000 34.4814 7.7186 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00037 AGULHA DESC 30 X 7 - 40X12 UN 1.9200 1.9000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.3300 0.3295 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 1.0000 0.9985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2670 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.2830 0.2670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.2300 1.2200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 1.0800 1.0780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.8000 1.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4200 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.8429 0.7671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1761 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.9800 0.9740 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.8000 0.7950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3075 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3499 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9397 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 1.4180 0.9820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4280 0.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 33162 NISTATINA CV VG GR 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 09733 ACETILCISTEINA 600MG PO VO SA 10.4900 10.4850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 34584 CAPTOPRIL 50 MG CP VO UN 0.0000 0.1593 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 37761 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0150 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 727ff4bd3e9f38cb2d2a76c2f91acfab MARIA NULL NULL 12045496735 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 68.2500 3.2961 64.9539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 1.3870 0.4130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.6000 0.3700 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.0800 0.5700 0.5100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 0.5400 0.2900 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 0.5400 0.2900 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1640 0.3160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2188 0.1812 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2188 0.1812 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2188 0.1812 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2490 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 19569 SONDA DOBBHOFF (P/ ALIMENTAÇAO ENTE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.0240 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 32040016 BACIA 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 1.8000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00272 EPINEFRINA 1 MG/ML 1 ML SI IM IV S 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 19658 SONDA ENDOTRAQUEAL PVC C/B Nş 7,5 U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.1700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1294 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.0000 1.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.2600 0.2120 0.0480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00095 ABOCATH N 14 A 22 UN 7.5300 7.5260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00097 ABOCATH N 14 A 22 UN 3.7700 3.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.0782 0.5918 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.5400 0.3490 0.1910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0526 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.4371 0.7429 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2185 0.3715 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1262 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7800 0.1497 0.6303 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 2.4800 0.6100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00098 ABOCATH N 14 A 22 UN 7.5300 7.5257 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6724 0.3476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1640 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 0.6400 1.9200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 000501 OXIGENIO 4.4600 2.9840 1.4760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4250 0.1050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4700 0.4237 1.0463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 1.6000 0.0000 1.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3068 0.0232 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03280 CLOREXIDINA 2 % ST TP ML 1.0600 0.8510 0.2090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2500 0.2495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51419 FILTRO DE BARREIRA 24.0000 18.0000 6.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51379 SERINGA DESC 05 ML UN 0.1900 0.0961 0.0939 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 16031 CISATRACURIO 10 MG 5 ML SI IV AP 90.4000 56.4990 33.9010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 23.3600 20.0190 3.3410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.4277 0.1923 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.4277 0.1923 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00111 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 1.8640 1.4660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51589 ESPARADRAPO 10 X 4.5 CM CM 0.8000 0.7420 0.0580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3795 0.1405 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51584 ESPARADRAPO MICROPORE 0.5100 0.2820 0.2280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7000 0.0595 0.6405 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.3600 0.0306 0.3294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 00097 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0170 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00111 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00111 ABOCATH N 14 A 22 UN 3.7700 1.6146 2.1554 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.0000 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2405 0.0795 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2290 0.2810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2270 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 4.4537 1.4863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 0.7982 0.4018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51241 AGULHA 123X45 1.0500 0.0000 1.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.7700 0.4240 0.3460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1540 0.3760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2819 0.1981 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 21792 TORNEIRINHA DE 3 VIAS DESCARTAVEL U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 12793 LAMINA BISTURI N 20, 22 E 24 UN 1.4712 0.9224 0.0876 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.2100 0.2011 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2270 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 20.9034 5.2266 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6891 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.5491 1.1809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2270 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3761 0.0239 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 2.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51241 AGULHA 123X45 1.0600 0.0000 1.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1400 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5200 0.2835 0.2365 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 01929 ATROPINA 0,50 MG SI IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 58661 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 139.6125 NULL PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 20010141 ECOBIDMENSIONAL COM MAPEAMENTO DE F 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 91.7056 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 58742 LAÇO EXTRATOR C/ CATETER DE 6,3 FR 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 28959 DERSANI LC TP ML 0.0000 4.8500 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 17191 FIO VICRYL 3-0 C/ AGULHA 2,4 3/8 J1 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 1.3322 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.2560 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 149.0216 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.7680 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 60712 SISTEMA AVANÇADOR PARA ATERECTOMIA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1026 0.0774 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1025 0.0775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00096 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51584 ESPARADRAPO MICROPORE 0.5100 0.2930 0.2170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.0915 0.8485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.0911 0.8489 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1286 3.2814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1286 3.2814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5479 0.1021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1570 1.5730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 000501 OXIGENIO 5.9500 4.3390 1.6110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 53068 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV 20.0700 12.0428 8.0272 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6191 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4720 0.1280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.1974 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.0000 0.8680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 22128 PARACETAMOL 500 MG + CODEINA 30 MG 0.0000 2.9490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.7961 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2166 0.0534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6130 0.5970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 1.4500 0.8300 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1950 0.2050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51584 ESPARADRAPO MICROPORE 0.7800 0.4788 0.3012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00098 ABOCATH N 14 A 22 UN 3.7700 3.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00098 ABOCATH N 14 A 22 UN 7.5300 7.5260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.3400 0.0000 0.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 1.3314 1.0886 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0249 0.4551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.0749 1.3651 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 18.7500 4.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 10.0530 2.2270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1460 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6020 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6020 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1977 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 00098 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54687 IODOPOVIDONA SD TP ML 0.6000 0.2600 0.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7435 0.0665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1426 0.5874 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.9585 0.9815 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00098 ABOCATH N 14 A 22 UN 3.7700 3.7697 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.7593 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 9.5000 9.4963 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6510 0.1590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1404 0.5896 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1404 0.5896 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8600 1.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7920 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 23.3600 23.3550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 5.2794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 51584 ESPARADRAPO MICROPORE 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.4252 0.1048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0320 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6725 0.3275 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6926 0.3374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0900 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.7900 0.9900 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 51163 AGUA BIDESTILADA 250 ML 5.7900 0.0000 5.7900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3692 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3741 0.1059 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7479 0.2121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3410 0.1890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51379 SERINGA DESC 05 ML UN 0.1900 0.0482 0.1418 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8140 0.1860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00096 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00096 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5345 0.1155 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5345 0.1155 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 1.0000 0.9982 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 2.7300 2.7294 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.9299 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6893 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 01899 AMIODARONA 50 MG/ML 3ML SI IV AP 0.0000 4.3896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 0.0000 16.2550 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0266 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00464 LIDOCAINA 2% C/ VASO SI IM PE ML 13.6300 6.8130 6.8170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 03280 CLOREXIDINA 2 % ST TP ML 2.6600 1.5960 1.0640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.2000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 000501 OXIGENIO 53.5600 41.6200 11.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.5900 0.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9260 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7730 0.4370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0900 0.0000 1.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00124 LUVA CIRURGICA UN 2.9000 2.2533 0.6467 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 00098 ABOCATH N 14 A 22 UN 7.5300 7.5274 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 42.1013 12.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 26.1600 22.6747 3.4853 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.3482 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5260 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7592 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.9790 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7000 1.6170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.2600 0.1600 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6662 0.3338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00124 LUVA CIRURGICA UN 1.4500 0.9222 0.5278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8530 0.3470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.7700 0.5500 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.7700 0.5400 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3977 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3977 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 27.0600 8.3200 18.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00480 PROTAMINA 1000 UI/ML 5 ML SI IV AP 8.1700 3.5019 4.6681 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.1500 0.0800 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12880 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN 27.0800 0.0000 27.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12880 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN 27.0800 0.0000 27.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12880 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN 27.0800 0.0000 27.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2565 0.4135 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2561 0.4139 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.8900 1.4216 0.4684 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2662 0.2538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.4197 0.2803 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.0200 0.9152 0.1048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.2500 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.4769 0.2831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1760 0.4940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.5500 0.5100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 3.0900 1.8200 1.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6300 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51584 ESPARADRAPO MICROPORE 0.5100 0.1930 0.3170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0310 0.0290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 1.9000 0.6300 1.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1210 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0700 1.0620 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4000 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4000 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.5100 0.1130 0.3970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00919 ALGODAO HIDROFILO BOLINHA UN 0.3800 0.2465 0.1335 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.0000 1.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 1.8600 1.4610 0.3990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 26.3890 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 27103 CLORIDRATO DE PAPAVERINA 50 MG/ML 2 0.0000 13.1870 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 13.0797 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 13.0794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.6081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a8d8473580cdb4b695d43f4793b9c628 ANDRE NULL NULL 12065092419 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12041983914 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12021639117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3b8a936ea94dad4fcc4c7d08f49543d7 ARIOVALDO NULL NULL 12044085010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12056341319 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.0000 1.8674 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 4.3400 1.7330 2.6070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12572 KIT CATETER DUPLO LUMEM P/ HEMODIAL 0.0000 183.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 57479 CATETER DE ACESSO VENOSO CENTRAL UN 0.0000 67.5000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 29645 ISOSSORBIDA 10 MG/ML 1 ML SI IV IC 0.0000 4.0386 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011064015 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 91ec20448357f60543ef957c658a4cf6 VANDEILSON NULL NULL 11996221810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 52339d70d59c638f8ef91d6b30010ff8 VALDIVINO NULL NULL 12011372720 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7299723a7cf9bbc33b824d361f0945a3 ANA NULL NULL 12005386720 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 457ac34373970defaa1065ab933ba400 ERONDINA NULL NULL 11995639920 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 6fb82ee377634e4132cfc6e1adcaa8e0 GABRIEL NULL NULL 12058273620 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 a2bc7c3a9debfd846a4a2f5744b52dfc LEONIDAS NULL NULL 11978534826 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 12058253627 32050054 TORAX PA LAT 0.0000 14.1474 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7957243ac3411146b9196692460875aa RENARLY NULL NULL 12049168821 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12069003524 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1140 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2453 0.0047 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 21814 ATRACURIO 25 MG SI IV AP 0.0000 18.1271 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 10.5556 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 24546 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 0.0000 40.1468 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 21814 ATRACURIO 25 MG SI IV AP 0.0000 18.1271 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 54780 ADENOSINA 3 MG/ML 2 ML SI IV AP 0.0000 35.5773 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1573 0.0327 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.1900 0.1494 0.0406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0341 0.0159 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 78.0708 39.0392 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 26.3400 20.2590 6.0810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3690 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7360 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2800 2.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.8200 0.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.2700 0.0900 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51456 LIDOCAINA 2% S/ VASO SI PE SC ML 2.3500 2.3496 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 5.7600 5.7588 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.8000 0.2910 0.5090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52771 FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV 28.1300 22.9850 5.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4260 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 5.5300 4.4614 1.0686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1450 0.1250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7320 0.2680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2560 0.1440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.6318 0.3182 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.2637 0.6363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 4.7700 4.7652 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 1.2800 1.2790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9392 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01485 HALOPERIDOL 5 MG/ML 1 ML SI IM IV AP 2.7700 2.7696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1510 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.0935 0.8265 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 50385 CETOPROFENO 100 MG PO IV FA 7.7800 7.7768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7949 0.7951 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00097 ABOCATH N 14 A 22 UN 7.5300 2.5096 5.0204 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0180 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0330 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5150 0.0850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.1000 1.8020 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.7700 0.3910 0.3790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 3.5632 2.3768 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2100 0.2078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 29.2000 9.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 29.2000 9.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1237 0.0563 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00037 AGULHA DESC 30 X 7 - 40X12 UN 1.0300 0.7083 0.3217 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.2932 0.0168 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.5293 0.0307 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 1.5740 0.2260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8163 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3500 0.3400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 33.7970 6.7630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.5200 0.4550 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 79.2700 71.7276 7.5424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5be9a7de43326bbf838dc94853c95876 MAXIMINA NULL NULL 12041725910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12041703411 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 176bd2d982475865252363841584abb1 MARIA NULL NULL 12058074911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 626c525f0faf59558b37115e6d4636a3 ELIAS NULL NULL 12025644115 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986623911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12075008419 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12004277918 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 535cd6d8e889044eeb79d885ecf55162 SABRINA NULL NULL 11994422210 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 32f818c70e8b80ce0ff4b9c7031e40b5 ANDRELINA NULL NULL 12061078716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ab2d48fa1f4531c965adf34f6ff66d78 LACORDIOIRA NULL NULL 12010827914 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 457ac34373970defaa1065ab933ba400 ERONDINA NULL NULL 11995485716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6ad4a9ab4dc89538f55ce6498413ed60 ALEXANDRE NULL NULL 12001671411 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010352615 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 1f41ad493266b73a3773d3be0f94ce97 HELENA NULL NULL 12072227716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51503 Levotiroxina 100mcg - Cp 0.2400 0.1800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5704ee64cefc35236ec4f397d76ab06a MARILIA NULL NULL 12052542515 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041605116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b1ea63aad5ef35f90ca905e2bfea8fde MERCIA NULL NULL 12014066111 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010894318 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 af9b9225168b94bda5a500957ffa0291 GERALDINA NULL NULL 12064402811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 81eb83d46960d954e813ac39a6caf53c JAMIL NULL NULL 12041636319 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057264911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 fe9b8435939c822c4b7492163d78802d MARTA NULL NULL 12065544713 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 11989025710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8a163cbb3dbfdc1d6293a069887e947e EDLANIA NULL NULL 12009933511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 bc2bdd865328d7a5909b80e462542a65 JULIANA NULL NULL 12011580419 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11986634110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 18bff2e20be5bf25c102efb75070e03a SEBASTIAO NULL NULL 11993698510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010804811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9c845e8d3972fd89861a8f9bc8efc7f9 AURITA NULL NULL 12061940217 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 967cd6023e1b1a7ff5f4a2de2b5934a0 RAMON NULL NULL 12010906811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d85f65c150c68102a13702e4149884af RANULFO NULL NULL 11996325619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7b132da267b47b4614f3cc5326b1b308 JOAO NULL NULL 12011071118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5673981678c81ba2e1c263fba08587aa DARLY NULL NULL 12070761618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2a2c74f7cfa78b15dfb278de7e52e681 ALESSANDRA NULL NULL 12058108519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5ed3e4ef7ef3159c83e34d428263af24 FIRMINO NULL NULL 12023516519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2257 0.2443 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.5200 0.4550 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2700 0.2400 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.1200 0.1130 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5336 0.1664 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 5.7900 4.2903 1.4997 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 5.7900 4.2903 1.4997 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00097 ABOCATH N 14 A 22 UN 3.7700 3.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.9640 0.0460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.3800 0.3747 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3981 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.2500 0.2466 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6140 0.4060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.3800 0.1810 0.1990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0905 0.0995 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51241 AGULHA 123X45 0.1900 0.0910 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00037 AGULHA DESC 30 X 7 - 40X12 UN 2.1700 1.4923 0.6777 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 1.6100 1.3700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 29.2100 9.7300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00471 LIDOCAINA 2% GE OU TP GR 0.2600 0.2571 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 1.2800 0.6500 0.6300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.3203 0.3197 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51241 AGULHA 123X45 0.7700 0.7673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5400 0.4600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.4200 0.4190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3330 0.2670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 03280 CLOREXIDINA 2 % ST TP ML 1.6000 0.2713 1.3287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0180 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51584 ESPARADRAPO MICROPORE 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51584 ESPARADRAPO MICROPORE 0.5100 0.3840 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9384 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.5100 0.1770 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0098 0.0402 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5220 0.1480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 50385 CETOPROFENO 100 MG PO IV FA 7.7800 7.7768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1793 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5474 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.0983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.3431 0.3469 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.2637 0.6363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 1.4600 1.4539 0.0061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 54687 IODOPOVIDONA SD TP ML 0.6000 0.2000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 54687 IODOPOVIDONA SD TP ML 0.6000 0.2000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.1500 0.0980 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2670 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2670 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1380 0.1320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7192 0.8908 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1797 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 6.4600 6.4480 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1600 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.3100 0.1000 0.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 54033 Fio Nylon 3-0 3/8 Triang Ag 1,9 (14503t) 6.6900 6.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2570 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 54968 ELIQUIS TABLET ORAL 13.4800 6.7400 6.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3630 0.0370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 1.9196 0.9604 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 10.1290 3.0410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51584 ESPARADRAPO MICROPORE 0.5700 0.3764 0.1936 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51584 ESPARADRAPO MICROPORE 0.5500 0.3632 0.1868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51241 AGULHA 123X45 0.1900 0.1500 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 15016 NITROPRUSSIATO DE SODIO 50 MG + DIL 0.0000 27.3393 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 23280 FIO POLYCOT 2.0 S/ AGULHA SPA44T UN 0.0000 10.1952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00485 AGUA BIDESTILADA 500 ML SI IM IV 0.0000 6.4269 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1279 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00690 BOLSA COLETORA (SISTEMA FECHADO) UN 5.9300 4.4484 1.4816 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00098 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1607 0.0293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.4300 0.4264 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 17252 LIDOCAINA 2% GE OU TP GR 7.7800 2.5950 5.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6020 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 20.0970 4.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 20.0970 4.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 4.4300 3.3590 1.0710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 18.7500 4.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.0499 0.9101 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0249 0.4551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 3.6000 0.0000 3.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 1.3314 1.0886 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00124 LUVA CIRURGICA UN 1.4500 0.8300 0.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 000501 OXIGENIO 5.9500 4.3390 1.6110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 208.0025 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 11193 CLOREXIDINA 2 % ST TP ML 0.0000 2.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0266 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6414 0.1686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.1500 3.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 15.2650 2.5450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3130 0.6870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1025 0.0775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1025 0.0775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.5360 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 09318 FIO MARCA PASSO E.P15/MP.285 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00167 FIO ACIFLEX 6 C/ AGULHA 4,80 1/2 - 0.0000 75.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 1.0240 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 1.9983 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 13757 IODOPOVIDONA SD TP ML 0.0000 0.0800 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 37761 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0900 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.4692 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7080 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.7680 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 29700 HENETIX (IOBITRIDOL) 300 MG/ML SI 0.0000 359.5000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 000501 OXIGENIO 0.0000 684.4800 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 52353 ABAIXADOR DE LINGUA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.7700 0.4240 0.3460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2820 0.2280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 2.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 2.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 0.7982 0.4018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00760 CLEXANE (ENOXAPARINA) 20 MG SI IV SC SE 20.0400 10.0200 10.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7690 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2402 0.0798 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.3800 0.3587 0.0213 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51379 SERINGA DESC 05 ML UN 0.1900 0.0961 0.0939 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.5489 1.1811 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.3290 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1830 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 54524 CLOREXIDINA SL BU TP ML(bucal) 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51649 ALCOOL ETILICO 70 % ST TP ML 0.2100 0.1900 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3666 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1580 0.3520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51589 ESPARADRAPO 10 X 4.5 CM CM 1.4000 0.8430 0.5570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51589 ESPARADRAPO 10 X 4.5 CM CM 0.8000 0.4810 0.3190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00182 SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP 1.3600 0.6787 0.6813 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4270 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 2.6389 2.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00097 ABOCATH N 14 A 22 UN 3.7700 3.7678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.2600 0.1360 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8698 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 2.8000 2.7998 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1262 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 102001 DIARIA DE APARTAMENTO 288.8800 216.6659 72.2141 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00037 AGULHA DESC 30 X 7 - 40X12 UN 1.5400 1.3696 0.1704 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6456 0.3544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.5500 2.2920 1.2580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.2135 0.4265 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.2600 0.2180 0.0420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.5100 0.4160 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1900 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00919 ALGODAO HIDROFILO BOLINHA UN 0.0500 0.0498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 0.7900 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 8.1300 8.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 01775 ATADURA CREPOM 30 CM UN 0.0000 14.8084 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 52302 CLOREXIDINA SL TP BU ML 0.0000 0.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 07722 DRENO DE SUCÇAO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54518 MIDAZOLAM 5 MG/ML 10 ML SI IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 25208 CORDA GUIA 0,35 (CONVENCIONAL OU HI 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 25151 CATETER DE DIAGNOSTICO CONVENCIONAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 22330 DIAZEPAM 5 MG/ML 2 ML SI IM IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00124 LUVA CIRURGICA UN 1.4500 0.7240 0.7260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2490 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 53070 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV 36.2700 26.2497 10.0203 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.6100 0.8400 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.4200 0.2700 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.9600 0.6000 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 3.3260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 0.5100 0.4060 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51584 ESPARADRAPO MICROPORE 0.7700 0.6140 0.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 0.7573 6.0627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4048 0.4052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.6204 0.3096 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 2.8000 1.8673 0.9327 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3000 0.0628 1.2372 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51649 ALCOOL ETILICO 70 % ST TP ML 0.2100 0.1800 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 37702 FIO PROLENE 4.0 C/ AGULHA 2,0 1/2 9 0.0000 18.3056 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 01929 ATROPINA 0,50 MG SI IV AP 0.0000 1.2978 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 4.7990 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 727ff4bd3e9f38cb2d2a76c2f91acfab MARIA NULL NULL 12045496735 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 52353 ABAIXADOR DE LINGUA UN 0.0000 0.0256 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018672933 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00485 AGUA BIDESTILADA 500 ML SI IM IV 0.0000 6.4269 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 208.0025 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 09733 ACETILCISTEINA 600MG PO VO SA 10.4900 10.4850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 33227 LUVA CIRURGICA UN 2.9000 2.8900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51208 SORO RINGER SIMPLES 500 ML SI IV BS 23.7500 23.7489 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.5990 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5020 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.0727 0.0573 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8580 0.1420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4280 0.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0170 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0320 0.0280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1330 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.9800 0.9740 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1676 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2580 0.2520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8159 0.0041 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00904 NORIPURUM EV 20 MG/ML 5 ML SI IV AP 18.8200 18.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4989 0.1011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4989 0.1011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 54687 IODOPOVIDONA SD TP ML 0.6000 0.4700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2300 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2300 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 176.7300 176.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 07761 CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA 176.7300 176.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 9.7300 5.3070 4.4230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 9.7300 5.3070 4.4230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6650 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 19.2400 19.2382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3660 0.3040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51584 ESPARADRAPO MICROPORE 1.2800 0.3490 0.9310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1290 0.1810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 7.6400 3.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 8.1880 4.0920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52982 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV 6.6900 6.6870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.0251 1.1549 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1496 0.0304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4200 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.4100 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2775 0.0525 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2775 0.0525 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3000 0.1900 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.2600 0.0630 0.1970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 10.2183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00563 ATROPINA 0,50 MG SI IV AP 0.6500 0.3244 0.3256 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8876 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1787 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2456 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1630 3.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.5000 0.4190 0.0810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 10.7000 0.7600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 21.3900 1.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2179 0.3721 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1758 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 1.9200 0.9600 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5700 22.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 12.8500 12.8471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.5000 0.4500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.4800 0.8646 0.6154 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.4800 0.8646 0.6154 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3425 0.0075 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.5100 0.2100 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00111 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00111 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0170 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0170 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3893 0.3807 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51584 ESPARADRAPO MICROPORE 0.5100 0.2780 0.2320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.1677 0.1323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3720 0.0280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3710 0.0290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.3830 0.1270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00098 ABOCATH N 14 A 22 UN 3.7700 3.7696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01102 SONDA FOLEY 2 VIAS N 16 UN 3.8200 3.8173 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51379 SERINGA DESC 05 ML UN 0.7700 0.5767 0.1933 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3750 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5600 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00095 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0320 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2680 1.2120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.0000 1.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7138 0.0962 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7138 0.0962 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00480 PROTAMINA 1000 UI/ML 5 ML SI IV AP 13.6200 13.6193 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 11.6800 10.0090 1.6710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5748 2.7052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2257 0.2443 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 7.7600 6.7900 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 37729 FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 0.0000 36.1372 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 4.6900 4.6650 0.0250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54653 DERSANI LC TP ML 19.4000 14.5500 4.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54687 IODOPOVIDONA SD TP ML 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 8.4614 1.0086 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 0.6600 0.5500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 52a3cd163ff151fa2ae68e29ca0d6ca0 LORENA NULL NULL 12065582616 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8ddb16177cedb1fb83e6abddbb50384a DILMA NULL NULL 12048377818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12014684319 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ef303a8d36c5b4e6c8c780cc590f4b99 MARIA NULL NULL 12018119714 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0a9e260cfa91fa116d4619daf187a5ad GILMAR NULL NULL 12006973916 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 40090060 Implante de Endo - Prótese Intracoronária 0.0000 0.0000 NULL PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 07315 DIPROSALIC (DIPROPIONATO DE BETAMET 0.0000 0.7483 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1691 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 07315 DIPROSALIC (DIPROPIONATO DE BETAMET 0.0000 0.7483 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 26083 Prolopa 50/200mg Cp. 2.1200 2.1100 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12058221919 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4200 1.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 5.4300 1.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 8.4614 1.0086 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54687 IODOPOVIDONA SD TP ML 0.4000 0.2600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54653 DERSANI LC TP ML 19.4000 14.5500 4.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.2700 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.4100 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 21865 ACIDO TRANEXAMICO 50 MG/ML 5 ML SI 0.0000 17.5396 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 52726 SUFENTANILA 50 MCG/ML 1 ML SI IV PE AP 19.1600 19.1587 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00826 TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I 13.1500 3.2893 9.8607 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4500 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 460.0000 306.6700 153.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6817 1.0483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 9.5000 0.0000 9.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2671 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.8000 1.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00098 ABOCATH N 14 A 22 UN 7.5300 7.5290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51584 ESPARADRAPO MICROPORE 0.7700 0.5780 0.1920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4570 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1970 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0280 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0090 0.0210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0090 0.0210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5988 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51584 ESPARADRAPO MICROPORE 0.5100 0.2780 0.2320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7000 0.0595 0.6405 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.3600 0.0306 0.3294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1559 0.1341 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00098 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2584 0.2516 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 5.3100 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1656 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.5100 0.2200 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5500 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3930 0.2070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3930 0.2070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5071 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00097 ABOCATH N 14 A 22 UN 3.7700 1.6150 2.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3425 0.0075 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1762 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1762 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5700 22.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54172 DIETA DIABETES 1.5 KCAL/ML 130.0000 107.5800 22.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 9.3023 0.9177 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.8000 0.6020 0.1980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.4000 2.0310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.4358 0.7442 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2179 0.3721 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 97.1500 97.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 48.5700 48.5690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2500 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 2.1500 2.1490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7593 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.9197 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 10.7000 0.7600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3673 2.3627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 01603 GLICOSE 50% 10 ML SI IV AP 1.6400 1.6397 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51584 ESPARADRAPO MICROPORE 0.7700 0.7694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.5280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.0000 0.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8876 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4438 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.7030 2.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.7060 2.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.4420 0.1780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 1.5400 0.3760 1.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3600 0.2200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00069 SERINGA DESC 10 ML UN 0.3300 0.2780 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.0125 0.5775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.0130 0.5770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 31488 PARACETAMOL 750 MG CP VO UN 0.9100 0.9050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b52362d3a610c4e0534f4432889d949f ROSICLER NULL NULL 12000231948 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 19143 SERINGA DESC 05 ML UN 0.0000 0.5766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 000501 OXIGENIO 7.4400 5.7300 1.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO 8.8900 8.8878 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 0.6700 0.6697 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 0.3300 0.3298 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 0.6562 0.4338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.3319 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9617 0.2283 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2800 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4990 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9910 0.3490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51584 ESPARADRAPO MICROPORE 0.7700 0.4690 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00904 NORIPURUM EV 20 MG/ML 5 ML SI IV AP 18.8200 18.8150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1140 0.3960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.3072 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00238 ATADURA CREPOM 15 CM UN 2.3300 2.3254 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00238 ATADURA CREPOM 15 CM UN 1.1700 1.1679 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00098 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6030 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51584 ESPARADRAPO MICROPORE 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1300 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3800 0.1400 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5700 1.5778 0.9922 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51589 ESPARADRAPO 10 X 4.5 CM CM 1.4000 0.7880 0.6120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2250 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.5310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.5310 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1810 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 33227 LUVA CIRURGICA UN 2.9000 2.8900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 33162 NISTATINA CV VG GR 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 09733 ACETILCISTEINA 600MG PO VO SA 10.4900 10.4850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51584 ESPARADRAPO MICROPORE 0.2600 0.1560 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7770 0.2230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 10944 HALOPERIDOL 1 MG CP VO UN 0.0000 0.2160 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 0.0000 7.8894 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 e62147ff07f4694792ce35a9aade6f6e TEREZINHA NULL NULL 11986486438 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062513339 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018672933 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12048861430 20613 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.3952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 727ff4bd3e9f38cb2d2a76c2f91acfab MARIA NULL NULL 12045496735 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8075482bdf5fba549cda9a6d88f2de40 LUZIA NULL NULL 12051278642 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 208.0025 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 55107 MORFINA 0,2 MG 1 ML SI IV PE IT FR 0.0000 8.2890 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 01740 ATADURA CREPOM 15 CM UN 0.0000 3.4971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 03280 CLOREXIDINA 2 % ST TP ML 1.8600 0.9300 0.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 2.7300 2.7288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4048 0.4052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.3786 3.0314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2310 0.0690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.6100 0.8400 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.0800 0.5700 0.5100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.0800 0.5700 0.5100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00090 SERINGA DESC 20 ML UN 1.0800 0.5700 0.5100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.1600 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4431 0.3669 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0900 0.0770 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00124 LUVA CIRURGICA UN 1.4500 0.7260 0.7240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 0.0000 3.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 2.8400 2.8340 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 01740 ATADURA CREPOM 15 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 20.0607 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 29815 MANIFOLD DESCARTAVEL UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 24546 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 17205 FIO VICRYL 4-0 C/ AGULHA 1,95 J196 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 18333 ALFENTANILA 0,544 MG/ML 5 ML SI IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 19135 SERINGA DESC 03 ML UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6130 0.5970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51584 ESPARADRAPO MICROPORE 0.7900 0.7857 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5710 0.4290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5710 0.4290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.5100 0.4160 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.5100 0.4160 0.0940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.4100 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0521 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0521 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51241 AGULHA 123X45 0.1900 0.0521 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1610 0.0190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51379 SERINGA DESC 05 ML UN 0.0000 1.7298 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 5.9200 5.9060 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 102001 DIARIA DE APARTAMENTO 288.8800 216.6659 72.2141 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 102001 DIARIA DE APARTAMENTO 288.8800 216.6660 72.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.4371 0.7429 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.4371 0.7429 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7900 0.1516 0.6384 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51584 ESPARADRAPO MICROPORE 0.0300 0.0059 0.0241 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51241 AGULHA 123X45 0.5700 0.0000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3476 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.5100 0.2660 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.1140 0.5760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6724 0.3476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 23.3600 23.3550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 17.5200 17.5180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 0.6400 1.9200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3976 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.4000 0.3100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 2.6389 2.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 2.6389 2.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 52e5f84bf44cf5b2408012e2d3609b04 ROSA NULL NULL 11996276120 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 5b588b1db1fe12e061ed2cd7e92b49be NEUSA NULL NULL 11989859024 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 5cb8acec08495318d2d1c6ec0d7b2952 MARIA NULL NULL 12047898329 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010482825 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12075655420 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 feca6744faebaae3c6b10bad493c5b70 ANESIA NULL NULL 11994495923 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ef303a8d36c5b4e6c8c780cc590f4b99 MARIA NULL NULL 12018175025 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7b132da267b47b4614f3cc5326b1b308 JOAO NULL NULL 12011237921 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 980ccb948cab432b3def0704b4d08e43 THIAGO NULL NULL 12041846110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2270 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.7900 0.5520 1.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 41.7985 10.4515 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 03280 CLOREXIDINA 2 % ST TP ML 1.8600 0.8810 0.9790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0256 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1728 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51230 AGULHA DESC 30 X 7 - 40X12 UN 11.1400 10.1279 1.0121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51241 AGULHA 123X45 0.1900 0.1793 0.0107 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0680 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51584 ESPARADRAPO MICROPORE 0.5100 0.2270 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 4.4537 1.4863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 1.3200 1.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.3994 0.2006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.7400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 992ce258cf73e450d019e370c7b0e144 RENNE NULL NULL 11958235131 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 20010010 Eletrocardiograma - Ecg 66.1200 55.0900 11.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51584 ESPARADRAPO MICROPORE 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2810 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 01740 ATADURA CREPOM 15 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 60038 BISOPROLOL 5 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 01740 ATADURA CREPOM 15 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 19216 SEVOFLURANO 1 ML/ML (100%) SL IN M 0.0000 503.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 07900 ETILEFRINA 10 MG/ML 1 ML SI IM IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11100 HEMOSTATICO - CELULOSE ALTA DENSIDA 0.0000 117.0100 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 01724 ATADURA CREPOM 10 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 20621 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 0122ed49f08bf325865d8db5dbfce9ab MIGUEL NULL NULL 11616325540 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 38210 FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 902001 PLANTAO DE UTI POR PACIENTE (HONORA 0.0000 350.6704 NULL INTERNACAO EM UTI IRREGULAR E/OU NA 0303
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 23990 FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 0.0000 15.2696 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 000501 OXIGENIO 0.0000 194.6800 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 71.5504 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 000501 OXIGENIO 0.0000 151.2800 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13757 IODOPOVIDONA SD TP ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 159.6660 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 160.4848 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00097 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00124 LUVA CIRURGICA UN 5.7900 4.0516 1.7384 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00124 LUVA CIRURGICA UN 5.7900 4.0516 1.7384 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1286 3.2814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 337.4100 12.7320 324.6780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3167 0.0833 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.3300 0.4700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.0000 0.8680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00371 PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN 2.9500 2.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 20.0970 4.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1410 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2770 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51242 SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN 38.8100 19.4073 19.4027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 17252 LIDOCAINA 2% GE OU TP GR 7.7800 2.5930 5.1870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4348 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 2.6091 0.2709 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1653 0.0247 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0600 0.6470 0.4130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01103 SONDA FOLEY 2 VIAS N 18 UN 3.8200 1.9087 1.9113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.3768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cbaf42eb246c625eb565382d1e8337e4 AMANDA NULL NULL 11971654635 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3540 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 78.0710 39.0390 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 2.7616 0.6384 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.7689 0.6411 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 10.1290 3.0410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 113.9600 91.1622 22.7978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 11.2800 2.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1720 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2915 0.1885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00563 ATROPINA 0,50 MG SI IV AP 0.6500 0.6490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.8200 0.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 1.8800 1.8773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0890 0.2110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0890 0.2110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.1790 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 17252 LIDOCAINA 2% GE OU TP GR 2.5900 2.5896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8097 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8097 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2393 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 7.9400 7.9391 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4260 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.8500 0.8400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1380 0.1320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1380 0.1320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.2600 0.1470 0.1130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.2970 1.2930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 250.3500 250.3478 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7350 0.2650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 1.6899 2.2501 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 03280 CLOREXIDINA 2 % ST TP ML 0.1600 0.1374 0.0226 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5470 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.8200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 1.7900 1.7890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 03280 CLOREXIDINA 2 % ST TP ML 1.8600 1.8500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.3072 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5467 0.4133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.1100 1.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.2100 2.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 60038 BISOPROLOL 5 MG CP VO UN 2.0200 2.0156 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.0000 0.6400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7790 0.2210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3086 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0180 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.0300 0.0054 0.0246 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3058 2.3042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0320 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.6200 0.6190 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.8100 0.8090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.8100 0.8090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51241 AGULHA 123X45 0.5800 0.5781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3200 0.3150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5043 0.0057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.3203 0.3197 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 3.5629 2.3771 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2747 13.1753 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 0.5400 0.4600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6140 0.4060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.2930 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3744 0.0056 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4268 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4268 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.5333 0.1667 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.9000 3.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2700 0.2360 0.0340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 66.0600 59.7745 6.2855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 68.8500 62.2990 6.5510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022255211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 727ff4bd3e9f38cb2d2a76c2f91acfab MARIA NULL NULL 12045495611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045496010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 710b26047232891c7aff59a1c6c4b8ab ANA NULL NULL 12022256611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12003565310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 52339d70d59c638f8ef91d6b30010ff8 VALDIVINO NULL NULL 12011233118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3e7f0ede069114530375b4bf02de23fb HELENA NULL NULL 12077466718 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12068783019 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 11993319313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 56288c8d6a0fb04a7c4b959fa1f80a61 TATIANA NULL NULL 11996435915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11994738718 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7273473e1aa785b9eec272b40835badd DINAIDES NULL NULL 12011623614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12010112815 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51503 Levotiroxina 100mcg - Cp 0.2400 0.1800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8e9deacb137a6da2e51f2508aa9aefff MARIA NULL NULL 12064003719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 2.9000 1.1580 1.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 0009ba6bad5451e560474ca63122de13 EVALDO NULL NULL 12057956014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 cc07ec94105cc875f2cb659db6b3e681 PEDRO NULL NULL 12048834710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 14191 OMEPRAZOL 20 MG CA VO UN 0.4500 0.0000 0.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 06501 ATORVASTATINA CALCICA 20 MG CP VO UN 2.8600 1.4300 1.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 13749 MARCAPASSO CARDIACO MULTIPROGRAM. C 0.0000 4324.3398 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 14191 OMEPRAZOL 20 MG CA VO UN 0.9000 0.5400 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4297 0.2603 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.5617 0.0583 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4096 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 110.9800 100.9021 10.0779 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 05444 CLORETO DE POTASSIO 15% 10 ML SI I 0.0000 1.7155 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 10723 GLICONATO DE CALCIO 100 MG/ML10ML S 0.0000 5.8064 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 16031 CISATRACURIO 10 MG 5 ML SI IV AP 60.2700 60.2690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6280 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3100 2.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 1.0898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 1.0900 1.0898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 0.2840 0.9960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.7700 0.1710 0.5990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51584 ESPARADRAPO MICROPORE 0.5100 0.1130 0.3970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 160.3400 160.3371 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6179 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.2560 0.5140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51649 ALCOOL ETILICO 70 % ST TP ML 0.2100 0.1600 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 1.6400 0.5400 1.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 03280 CLOREXIDINA 2 % ST TP ML 0.5700 0.1900 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3000 1.2940 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8300 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 2.6600 2.4900 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9400 1.7407 0.1993 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 2.9000 2.6630 0.2370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1832 0.1368 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2665 0.2535 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54295 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL FOTOSENSIVEL UN 37.0600 0.0000 37.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.6300 0.6228 0.0072 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.3721 0.1179 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00124 LUVA CIRURGICA UN 4.3400 3.8600 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.0952 0.0948 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0901 0.0899 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.9000 0.4700 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 25.7400 25.7357 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1600 9.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1700 9.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 78.3800 78.3710 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 1.8200 0.7400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.2600 0.1900 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.5100 0.3090 0.2010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 2.1830 1.1470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4390 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.5400 0.3324 0.2076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.2600 0.1600 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51584 ESPARADRAPO MICROPORE 0.2600 0.1604 0.0996 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7000 1.6170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2408 0.0292 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5897 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1190 0.1810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.8301 0.3499 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4960 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00098 ABOCATH N 14 A 22 UN 7.5300 7.5290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51584 ESPARADRAPO MICROPORE 0.7700 0.6290 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6510 0.1590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.5838 0.3362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 5.2800 5.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1261 0.1339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2166 0.0534 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51584 ESPARADRAPO MICROPORE 0.5200 0.2835 0.2365 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.9197 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.6900 0.4630 1.2270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3692 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3420 0.1880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0900 0.6690 0.4210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.7980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8140 0.1860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1067 0.2133 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.0500 1.5380 0.5120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1267 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5347 0.1153 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5345 0.1155 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3489 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 2.0800 1.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6189 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 5.4900 5.4850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 23280 FIO POLYCOT 2.0 S/ AGULHA SPA44T UN 0.0000 5.0976 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 27596 TIRA TESTE PARA GLICOSE UN 0.0000 5.1752 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 0.5474 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6e7867baf54290b69dedfa10708cbac4 CELIA NULL NULL 11986625237 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 14346 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 0.0000 6.1596 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 9b65f2202885374f7f09866cef011fad EDUARDO NULL NULL 12065606932 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.3075 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 fc8deaa91dafa558065663b93ad4265b ELEUS NULL NULL 11978431936 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 b8f2630acf0029f6b9a73d39b3900c7a EMMANUEL NULL NULL 11978345337 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7200 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1950 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1340 0.3960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.7639 0.1661 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3385 1.7415 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 13.0800 11.3373 1.7427 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 1.0600 0.2400 0.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041625235 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 33545 PIPERACILINA 4 G + TAZOBACTAM 500 M 0.0000 83.4493 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f913269eaafe75df7b7aad5983f78bcf JULIA NULL NULL 12058051532 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 10.5556 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 33010358 DOPPLER COLORIDO DE TRES OU MAIS VA 0.0000 208.3785 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 24546 FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 0.0000 40.1468 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 51314 ZOLPIDEM 10 MG CP VO UN 0.0000 1.2796 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 17760 FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 0.0000 30.1677 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 2.9000 1.6083 1.2917 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2749 1.6651 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.2742 1.6658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 4.5542 3.3358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2321 0.0279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7000 1.6170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 000501 OXIGENIO 212.7800 210.5960 2.1840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2210 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6550 0.3450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.2600 0.1570 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51584 ESPARADRAPO MICROPORE 0.2600 0.1570 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 0.9350 0.6050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8530 0.3470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.5100 0.3700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51584 ESPARADRAPO MICROPORE 0.7700 0.5400 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 28.4900 28.4860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9850 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 4.1700 9.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 54685 POLVIDINE ALCOOLICA 0.6000 0.3100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 35.0300 35.0290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00090 SERINGA DESC 20 ML UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0901 0.0899 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.3300 0.2550 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00069 SERINGA DESC 10 ML UN 0.6700 0.5170 0.1530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1602 0.1598 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00124 LUVA CIRURGICA UN 2.9000 2.5800 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7943 0.7957 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 12880 EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN 27.0800 0.0000 27.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1812 0.0588 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.7300 1.3013 0.4287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51419 FILTRO DE BARREIRA 24.0000 9.0000 15.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2662 0.2538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.9600 0.5490 0.4110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.7321 0.5479 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.7321 0.5479 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3410 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00124 LUVA CIRURGICA UN 1.4500 1.3310 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5000 0.4486 0.0514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9800 0.8793 0.1007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.2500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0160 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4963 0.0937 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4955 0.0945 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51241 AGULHA 123X45 0.0000 2.3064 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7040 0.2960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1760 0.4940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.4500 0.4200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 54678 LANTUS 0.5000 0.4600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6400 2.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6400 2.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6300 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.6300 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1374 0.1226 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51584 ESPARADRAPO MICROPORE 0.5100 0.1910 0.3190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2bcdc3cbedb73a0db271ac09d4587a1 ORDETE NULL NULL 12057315547 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3071 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 160.3400 160.3373 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51230 AGULHA DESC 30 X 7 - 40X12 UN 1.0700 1.0620 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9700 0.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00111 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0070 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 e697d2f26c0a8948997ea1e5881a86f7 VANIA NULL NULL 12003596049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8097 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2440 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2437 0.2463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.2437 0.2463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51163 AGUA BIDESTILADA 250 ML 5.7900 3.3070 2.4830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3669 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 54294 ZOLPIDEM 10 MG CP 1.2800 1.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3430 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 20923 SULFATO DE MAGNESIO 500 MG/ML 10 ML 0.0000 1.3573 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 83.2400 75.6811 7.5589 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 110.9800 100.9021 10.0779 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3874 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3856 0.0144 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7808 0.0292 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.3330 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8957 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00613 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4297 0.2603 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4297 0.2603 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 06501 ATORVASTATINA CALCICA 20 MG CP VO UN 2.8600 1.4300 1.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5229 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 4.9700 4.9640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12015190510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3d57ded22172940a3312c4a3ec0198a9 WAGNER NULL NULL 12029428413 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 8546e34bf7edc71e67c0784742b64a6b JULIA NULL NULL 12041840715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 7762743f166ed136b53ad6f351945a8e TEREZA NULL NULL 12021373319 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 aae71ae8ae0e2783c5026f191ddafdcf JOAO NULL NULL 12048823215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 739226c5a7fb08d5b14a4866f2a25cef DANILO NULL NULL 12007066013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12014685817 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6bdc4761c1d45371dceaa93a42443dd8 JEHANE NULL NULL 12044260719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 f60769e211fe97760b15ee948a43c4cc RINALDO NULL NULL 12041856116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 23256 LAMINA P/ TRICOTOMIA UN 0.0000 0.4484 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 3.7922 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1686 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12058455121 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 1724a383dc1c66dfc1809fe7b88627b7 NARA NULL NULL 12018674820 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 2174af77ddf8522a9df5f5ad05798a0a SYLAS NULL NULL 12058312129 20010010 ECG ELETROCARDIOGRAMA 0.0000 11.5710 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 ee46182a5d49d09e9b26f020c3d4ceea ARTHUR NULL NULL 12067466920 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 7273473e1aa785b9eec272b40835badd DINAIDES NULL NULL 12011631625 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12072321825 32050054 TORAX PA LAT 0.0000 14.1474 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12075971529 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 114387113ee32b6d1eaa515c270293af MARIA NULL NULL 12010902625 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 b1ea63aad5ef35f90ca905e2bfea8fde MERCIA NULL NULL 11998393529 32020074 COLUNA LOMBO SACRA C OBLIQUAS E COM 0.0000 30.8845 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 3d59def7b386631d5b4fd7249cb9ced6 ONDUMAR NULL NULL 11995796529 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1040661 56288c8d6a0fb04a7c4b959fa1f80a61 TATIANA NULL NULL 11996447827 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5070 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00090 SERINGA DESC 20 ML UN 0.5400 0.5170 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00124 LUVA CIRURGICA UN 1.4500 0.8041 0.6459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 14.3970 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 15210 NORIPURUM EV 20 MG/ML 5 ML SI IV 0.0000 9.4080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 96e37d2e9503bcb718ad211582d8b508 PATRICIA NULL NULL 12025233835 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 33170 TENOXICAN 20 MG CP VO UN 0.0000 1.8260 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055368532 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11982584931 11290 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 5.6696 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12058017030 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 22748 LIDOCAINA 2% GE TP OU GR 0.0000 0.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12024167136 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978397843 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006835339 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 0.0000 37.9856 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12057981330 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1200 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00802 COLCHICINA 1 MG CP VO UN 1.9700 1.6900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 11473 CLONIDINA 0,200 MG CP VO UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.1560 1.5740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7600 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.7700 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.5814 0.2286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2871 0.1129 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8950 2.8950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 11989405246 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 00097 ABOCATH N 14 A 22 UN 3.7700 3.7688 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00124 LUVA CIRURGICA UN 5.7900 4.4990 1.2910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00124 LUVA CIRURGICA UN 1.4500 1.1270 0.3230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1830 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.1832 0.1368 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12043368843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f503e49355bb39c8e379397546306926 ANA NULL NULL 12045252444 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9260 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9290 0.0710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 000501 OXIGENIO 15.8700 12.3300 3.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51181 POVIDINE TINTURA 1.2000 0.5000 0.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f82ec15fe55a2875494e6b142c852e4d ENY NULL NULL 11965942831 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12063132631 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 d9eea4d8c42803b7877cc1c4d032a11c DIOGENES NULL NULL 12022270236 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 18.9380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 a928a0e5dfe9a728254d0d5e9dcbf1d0 BERTOLINA NULL NULL 12030448230 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11954483033 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 0.6661 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c6ef9b3a938dcace584e8507498ac36c ANA NULL NULL 12018723531 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 00069 SERINGA DESC 10 ML UN 0.6700 0.6688 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7592 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bbbbd749836ed69dd02432038ff2ac0 LOURDES NULL NULL 12015227745 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1263 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00128 LUVA DE PROCEDIMENTO UNIDADE UN 2.5000 2.0350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00069 SERINGA DESC 10 ML UN 0.3300 0.2491 0.0809 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1256 0.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 51379 SERINGA DESC 05 ML UN 0.1900 0.0480 0.1420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a852755304cbebe196d8caebb304f112 TEREZINHA NULL NULL 11982982741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad2301bbf91fe6897e1b80657cb18e9d DALVA NULL NULL 11904301446 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2480 0.0820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.7700 0.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c24ace913fe8bfd192238b4459ada576 CLAUDIO NULL NULL 12021289841 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6130 0.5970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12016980146 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12047211440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51584 ESPARADRAPO MICROPORE 0.2700 0.1476 0.1224 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6926 0.3374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6926 0.3374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 1.6100 1.6050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.1484 0.1316 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2190 0.4510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ce613f65dcc4811b1f4172d1a9efcedb DELSITA NULL NULL 11967855646 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.3300 0.9980 0.3320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1896 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8099 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.7700 0.7620 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2473 0.2627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.5838 0.3362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.1878 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7919 0.1681 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 1.8600 1.1600 0.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00111 ABOCATH N 14 A 22 UN 3.7700 3.7695 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.9586 0.9814 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3671 0.0329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.6081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4150 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores 137.7500 91.8300 45.9200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 592bc622df1ed32b44ac56bbd23f14bd BENEDITA NULL NULL 12030236248 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1294 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0badc02f1c4383ec4ed96307c60c54bb CASSIA NULL NULL 12023958646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 84807423c261a8d5380ea1f938c3fe72 LUIZ NULL NULL 12045431310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9b9a360f3023b0496a4f631207efff35 ANNA NULL NULL 12058231414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 bf7b1b2f65912cc26a11954ac8c79ef5 ND NULL NULL 12055332413 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 fa1a2e5c26ea41fe4b71f29cbd6c69e0 PEDRO NULL NULL 12062405716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 3bf00099d9b0bee0839864408fd19682 GERALDINE NULL NULL 12061888510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 33412c768076658c2408f8cf398e8059 IRACILDA NULL NULL 11996487018 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6923ee7d984213a5e5a666635fc793f7 MARCIEL NULL NULL 11999893914 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 11993077910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 a9b1dde9b36eab5f8cd2f38da139eedb NEIDE NULL NULL 12011536116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 11999094711 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 191c3bbfae3d1165b382fc3d86e1d427 INACIO NULL NULL 12076120413 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 ed212a6dc6e7b01def15359b2b35482b ESMERALDA NULL NULL 11995798612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12002875514 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 9114d3d07c8ddd580e6aa9e6de9413a8 ROSALIA NULL NULL 12010845716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2d83f6622d91d4bd3b5a5dcad56f3363 SIRLEY NULL NULL 12077581110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 739226c5a7fb08d5b14a4866f2a25cef DANILO NULL NULL 12011526414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 5cb8acec08495318d2d1c6ec0d7b2952 MARIA NULL NULL 12047468210 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 2174af77ddf8522a9df5f5ad05798a0a SYLAS NULL NULL 12058311112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51708 Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal 46.2400 41.8406 4.3994 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51584 ESPARADRAPO MICROPORE 0.2700 0.2360 0.0340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2510 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 33.7970 6.7630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00124 LUVA CIRURGICA UN 2.9000 2.1488 0.7512 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00125 LUVA CIRURGICA UN 1.4500 1.0744 0.3756 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6140 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51241 AGULHA 123X45 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3525 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3537 0.0463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 23.9499 2.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51584 ESPARADRAPO MICROPORE 0.5200 0.5123 0.0077 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 53051 POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 54.9200 54.9197 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5240 0.0760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2620 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.5293 0.0307 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5198 0.0302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.2930 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00031 AGULHA DESC 13 X 45 UN 0.6700 0.3192 0.3508 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00090 SERINGA DESC 20 ML UN 1.6100 1.3700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 140.5461 26.3539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 70.2730 13.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 1.2800 0.6500 0.6300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51584 ESPARADRAPO MICROPORE 0.5100 0.2590 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2570 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5790 0.8710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00124 LUVA CIRURGICA UN 1.4500 0.5830 0.8670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3200 0.3150 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010911642 51241 AGULHA 123X45 0.6400 0.6390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 03280 CLOREXIDINA 2 % ST TP ML 1.6000 0.2713 1.3287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 432841c097a31ed8079f5a76c9bb2dea SANDOVAL NULL NULL 11829315940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51584 ESPARADRAPO MICROPORE 0.2600 0.0920 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0098 0.0402 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00111 ABOCATH N 14 A 22 UN 3.7700 1.2566 2.5134 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2570 0.0730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 3.1860 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 4.7700 2.3844 2.3856 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00124 LUVA CIRURGICA UN 1.4500 1.1266 0.3234 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 22171 ATADURA CREPOM 10 CM UN 0.7900 0.0000 0.7900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 1.8000 0.1700 1.6300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0600 0.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.0935 0.8265 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.8201 0.6199 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2733 0.2067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2461 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51584 ESPARADRAPO MICROPORE 0.5100 0.5090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.0940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2730 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.1200 0.1180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 06470 BAMIFILINA 300 MG DG VO UN 1.1100 1.0500 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01610 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8038 0.0062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3969 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7320 0.2680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.7870 0.9430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 3.2300 3.2000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.8000 0.2660 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.2970 1.2930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51584 ESPARADRAPO MICROPORE 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3520 0.2480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 0.0000 20.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2670 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.7192 0.8908 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00111 ABOCATH N 14 A 22 UN 3.7700 3.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4740 0.1960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5960 0.0740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 1.0000 0.9985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.8500 0.8400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51419 FILTRO DE BARREIRA 24.0000 0.0000 24.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.5800 0.5700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.3700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1930 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 51584 ESPARADRAPO MICROPORE 0.5200 0.1700 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2800 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 be3a1c0c3b5098d0cf1e36f17468f3e5 JOSE NULL NULL 12057341940 52982 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV 6.6900 6.6870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 03280 CLOREXIDINA 2 % ST TP ML 0.8200 0.8188 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6868 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3453 0.4647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1705 0.2295 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5769 0.3831 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2884 0.1916 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 1.0700 0.3280 0.7420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 03280 CLOREXIDINA 2 % ST TP ML 0.5400 0.1650 0.3750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7dcba74948f31e6ba36ad180ffb96a08 CLAUDINE NULL NULL 12045446644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7840 1.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7852 1.1548 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 27.9840 13.9960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 27.9860 13.9940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 2.7608 0.6392 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00111 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00069 SERINGA DESC 10 ML UN 0.3300 0.2805 0.0495 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6754a875500788d12733773c12ef63c2 JOAO NULL NULL 12045498730 10634 GLICOSE 50% 20 ML SI IV AP 0.0000 1.0678 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11912505745 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 05444 CLORETO DE POTASSIO 15% 10 ML SI I 0.0000 1.0293 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 55913 CISATRACURIO 10 MG 5 ML SI IV FR 0.0000 180.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b9051b6a160b9dbed6250c236b59f840 IRACI NULL NULL 11964429248 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 11827857349 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 2.0550 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b2c94d06e988215745457412c3e0fdf7 ELNA NULL NULL 11995506440 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 c5b1a747bd1550880bfb5695a7641f7d ELEONORA NULL NULL 12055992530 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 33936 CEFTRIAXONA IV 1G + DIL. 10 ML PO 0.0000 54.1292 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51649 ALCOOL ETILICO 70 % ST TP ML 0.2400 0.2000 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5561 0.8539 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1110 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6110 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1522 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51379 SERINGA DESC 05 ML UN 0.1900 0.1647 0.0253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00090 SERINGA DESC 20 ML UN 0.5400 0.4510 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51378 SERINGA DESC 03 ML UN 0.1500 0.1450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8697 0.0903 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.6696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 51584 ESPARADRAPO MICROPORE 0.5100 0.4090 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4760 0.1940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 03280 CLOREXIDINA 2 % ST TP ML 0.4000 0.3970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2770 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2770 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 000501 OXIGENIO 215.7600 163.6380 52.1220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b03e27dedd70fa6b769b7f03c0113d70 LETICIA NULL NULL 12030213842 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.6760 0.5340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00371 PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN 2.9500 2.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.1498 2.7302 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.0749 1.3651 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.0749 1.3651 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.0749 1.3651 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0249 0.4551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.0000 1.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 1.3314 1.0886 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 1.3314 1.0886 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2207 0.1793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00111 ABOCATH N 14 A 22 UN 3.7700 3.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5300 0.3256 0.2044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2168 0.0532 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 60bb1221d383a6f21a877d9948a58c8d LINDAURA NULL NULL 12016611044 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 f34d6de69c60ac524337ab75bc67d951 LAURA NULL NULL 11978562437 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 12742 LACTULOSE 667 MG/ML XP VO ML 0.0000 4.2880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0266 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 12030423536 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ad09a92a595051136c3c3f31a6cf5c3e JOSE NULL NULL 11902750846 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 19518 SOLUÇAO DE GLICERINA 12% 500 ML SL 0.0000 4.4281 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4c75b48fb02c247ba5112f264e5247f1 JOAO NULL NULL 12048857142 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978293132 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00922 AMINOFILINA 24 MG/ML 10 ML SI IM I 0.0000 0.6685 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 31828 PREDNISONA 20 MG CP VO UN 0.0000 0.7480 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7937dea30c97f54555bd89e2bd72e20c EVANDRO NULL NULL 11990183848 27596 TIRA TESTE PARA GLICOSE UN 0.0000 5.1752 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 07390 DOBUTAMINA 250 MG 20 ML SI IV FR 0.0000 41.9770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 11954125730 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2300 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4061 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2407c39e2c6fb29e82e9e93a826e1705 JESUS NULL NULL 11820400146 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.2093 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00124 LUVA CIRURGICA UN 11.5800 5.1400 6.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 832dbc2b2a457c6dea0754ff4a93911e DARI NULL NULL 12043071548 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.5477 0.1023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.1400 3.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00124 LUVA CIRURGICA UN 2.9000 2.0293 0.8707 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 00069 SERINGA DESC 10 ML UN 0.3300 0.2220 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 19216 SEVOFLURANO 1 ML/ML (100%) SL IN M 0.0000 201.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 201007 TAXA DE SALA PORTE VI 0.0000 0.0000 NULL PROCEDIMENTO REALIZADO DIFERENTE DO 0404
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 25208 CORDA GUIA 0,35 (CONVENCIONAL OU HI 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 0.0000 0.0000 PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 0.0000 48.7650 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2777 0.2023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1410 0.3890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7110 0.2890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 20010010 Eletrocardiograma - Ecg 16.5300 13.7800 2.7500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3739 0.0261 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f71df7e605273bd2290342f8bdabc455 DELTON NULL NULL 12003574847 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.0676 0.3424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 0.7982 0.4018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2270 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2457 0.2643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51379 SERINGA DESC 05 ML UN 0.1900 0.0961 0.0939 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 51379 SERINGA DESC 05 ML UN 0.1900 0.0961 0.0939 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00090 SERINGA DESC 20 ML UN 0.5400 0.4910 0.0490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 7.1055 2.3645 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.6240 1.0460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ddc11f0c6d65415e11d0e47e4df5595d ANSELMO NULL NULL 12002062746 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 54524 CLOREXIDINA SL BU TP ML(bucal) 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3666 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 104.5100 83.6050 20.9050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 00069 SERINGA DESC 10 ML UN 0.3300 0.3055 0.0245 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.5100 0.1470 0.3630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31c967637470134b6795a2a50201a704 GERSON NULL NULL 11978335840 54524 CLOREXIDINA SL BU TP ML(bucal) 0.2200 0.1700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982426530 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.1900 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6724 0.3476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0200 0.6724 0.3476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0500 0.6921 0.3579 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00097 ABOCATH N 14 A 22 UN 3.7700 3.7681 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00097 ABOCATH N 14 A 22 UN 3.7700 3.7678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00098 ABOCATH N 14 A 22 UN 3.7700 3.7678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 51584 ESPARADRAPO MICROPORE 0.2600 0.1430 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 11927294843 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 00919 ALGODAO HIDROFILO BOLINHA UN 0.0300 0.0292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.2189 0.3711 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8950 2.8950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20010010 Eletrocardiograma - Ecg 16.5300 12.4000 4.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.5400 0.3486 0.1914 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 00096 ABOCATH N 14 A 22 UN 3.7700 3.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2550 0.0450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1194 0.1406 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4654 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11985663340 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2554 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12013422446 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.2700 0.9400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bde24af2cf7e7771a7a8d3032d7c1c4c JUSTINO NULL NULL 11864667748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 3fb8ac7d91d4af501e2c3c32445e96a1 GLAYDSON NULL NULL 11998713842 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1781 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 55107 MORFINA 0,2 MG 1 ML SI IV PE IT FR 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 1654.6030 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 149.0216 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 c55205bb9a3e9b1f061210722cf70abd DIVINA NULL NULL 12056840749 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 29742 CATETER PIGTAIL - TODOS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 cc4faa7c6930145e2284c604736255dc MARIA NULL NULL 12023818547 25291 INTRODUTOR HEMAQUE 5F A 9F UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 6db631daa9f996f4766332e59b71296f UBIRAJARA NULL NULL 11968192940 08648 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 571b0169b9eb8bb6b1bb6cbebc8f2765 MARIA NULL NULL 11892609049 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 1.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 19178 SERINGA DESC 60 ML UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 01740 ATADURA CREPOM 15 CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ba7413d35587109133e667ae05bbe9a8 LUZINETE NULL NULL 11969398841 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6497 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00124 LUVA CIRURGICA UN 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00124 LUVA CIRURGICA UN 5.7900 2.8930 2.8970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9395 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9394 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2456 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.3200 0.6400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 53070 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV 18.1400 13.1285 5.0115 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.4200 0.2700 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 00069 SERINGA DESC 10 ML UN 0.6700 0.2672 0.4028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2310 0.0690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 0.6048 0.6052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f6a88751a873096f22be24fd5fc704ca JOSE NULL NULL 12021150645 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.4020 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9e179ac7ea3c6c520c7403519166491e AMERICO NULL NULL 11953815442 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 0.0000 2.4852 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 855c9ae439842933d8f3cb12c2eb05d6 LUCIENE NULL NULL 11927051943 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 2ef4d9c78ed6aa9a2d7db40108c81391 LUCIMAR NULL NULL 11978377635 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 6e4bae6e40b4bd98b462852dc858e83b LUKA NULL NULL 11590924545 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 31.6668 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 900fc9d8da41be20a01303c7d3035200 MARA NULL NULL 12025676039 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 ff40783697b358e48e5d5290a6c13bc9 MARIANA NULL NULL 12014379949 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11981598235 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 0.7669 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 1e8df68ae0dc72a4bcd494bc22cfe767 PRISCILA NULL NULL 12061972838 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 5834f1e54affc1116b2a390c341efeb9 RONALDO NULL NULL 12041987430 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 20923 SULFATO DE MAGNESIO 500 MG/ML 10 ML 0.0000 1.3573 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1bb30f29603d594b6896af9affae1ebb WILLIAM NULL NULL 11924016243 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7770 0.2230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0ce5ea480046a53ca698fd09822b1a09 ABADIA NULL NULL 11996404946 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b382111d746bd33c42d61c496763b34a MARIA NULL NULL 11954336646 18716 RISPERIDONA 1 MG CP VO UN 1.0000 0.9930 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 33162 NISTATINA CV VG GR 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11985592140 33162 NISTATINA CV VG GR 0.0900 0.0851 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8550 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51589 ESPARADRAPO 10 X 4.5 CM CM 1.4000 0.7880 0.6120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51584 ESPARADRAPO MICROPORE 0.7700 0.2580 0.5120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9384 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 689a467b39e9d684cc437491552b13f8 ANA NULL NULL 11953973343 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7c810c167971b121f8c00eee34222053 ITRAJANES NULL NULL 11976015940 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7480 0.2520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7b4a343d6550503e701ae4ed6d228580 ANA NULL NULL 11988641848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954078238 00097 ABOCATH N 14 A 22 UN 3.7700 3.7696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d9e94ba3838667538b8a8b988b647893 MARIA NULL NULL 12006789844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3498 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3250 0.2150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 0.5400 0.3210 0.2190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00090 SERINGA DESC 20 ML UN 1.6100 0.9580 0.6520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 85e418a8531e47d1db0f0b5957c29ade LUCIA NULL NULL 12011330040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00090 SERINGA DESC 20 ML UN 3.2300 3.2190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4930 0.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4930 0.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d81c8a442997ec5b2cc65f1b57e65d7e WALDEIA NULL NULL 11785907745 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.2700 0.2680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00090 SERINGA DESC 20 ML UN 1.0800 1.0780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8159 0.0041 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 556226dd3b98f584a4086b21ad3e8a15 MARIA NULL NULL 12056513932 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0920 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 1.9820 0.3580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.4989 0.1011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9940 0.4160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9908 0.4192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 08306 Sinvastatina 20mg Cp. 0.3500 0.2900 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55279 TRAMADOL 50 MG 1 ML SI IM IV AP 4.1900 3.9610 0.2290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 01004 FUROSEMIDA 40 MG CP VO UN 0.2700 0.2200 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f36ad1ed78eca21f7d0789a3424c8f58 JOAQUIM NULL NULL 12041728644 55272 MITRIPTILINA 25 MG CP VO UN 0.3500 0.2645 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 4fbe3d29e931fb4af3c294d9be66d511 JOSE NULL NULL 11958011139 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 0.3300 0.3298 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 0.6700 0.6697 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00069 SERINGA DESC 10 ML UN 1.0000 0.9996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0594 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 9.7300 5.3070 4.4230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 30756464275c586869b610c9e9bfdd19 MARIA NULL NULL 12015059040 25724 ESOMEPRAZOL MAGNESIO 40 MG CP CP 9.7300 5.3070 4.4230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00501 DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. 2.2100 1.7100 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 b520609e5426d9085fc2203a28d9e908 NILZA NULL NULL 11984859845 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043850 6bad1603a55f05e96b03b6d8808fd7a9 SAMUEL NULL NULL 12025557637 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 0.0000 2.0478 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 8c9c663f3b85d6342c774f2ed8d72521 TEREZINHA NULL NULL 12048675248 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12063872644 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 33286 VANCOMICINA 500 MG 10 ML PO IV FA 38.4800 38.4764 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1410 0.3690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 51584 ESPARADRAPO MICROPORE 0.5100 0.1390 0.3710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 d337f19fab083a8329c420d4d927370d LUZIA NULL NULL 12025355945 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4390 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 00090 SERINGA DESC 20 ML UN 0.5400 0.4370 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51379 SERINGA DESC 05 ML UN 0.1900 0.1600 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 0cb7596e52e565621f9ca92e8eb2bee9 EULA NULL NULL 11982775343 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1490 0.0310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1322 0.0578 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.2644 0.1156 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.8000 0.8300 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0300 0.6300 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 00095 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.2600 0.0630 0.1970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.5100 0.1240 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 51584 ESPARADRAPO MICROPORE 0.7700 0.1880 0.5820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7210 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7210 0.0890 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.2100 1.0770 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8876 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1c3421ec88fc89e9933e404cc9508f81 LUCIA NULL NULL 12005413442 51649 ALCOOL ETILICO 70 % ST TP ML 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.3755 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.5280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2100 0.1070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 11968887840 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 0.7700 0.7689 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1680 3.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.1630 3.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3022 0.0978 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 2e6cf41997b9487099ac1a48a049bd74 ELIANE NULL NULL 11953892049 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3672 2.3628 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2440 0.0460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.4520 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8957 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a6bb794b64b798309da18f2212ac7e74 FRANCISCO NULL NULL 11983162543 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 10.6900 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 22.9260 1.6340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 22.9260 1.6340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5897 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 deda9bf67a513fa83ac40dfdce730038 DURVAL NULL NULL 12041820445 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2500 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 f2b00b4a8da08ab6968964799ef40777 MARIA NULL NULL 11978513147 02254 METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL 48.5700 48.5690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 02e01063fbbffdd6b40e121f7482d059 IDEIDES NULL NULL 11831104245 51163 AGUA BIDESTILADA 250 ML 5.7900 2.8950 2.8950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.8000 0.6020 0.1980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51584 ESPARADRAPO MICROPORE 0.2600 0.1800 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51578 Frasco p/ alimentacao enteral 2.4700 1.9229 0.5471 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 333.8000 333.7971 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1040 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.1038 0.3062 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 9.3023 0.9177 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 9.3023 0.9177 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 20.4500 18.6137 1.8363 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.0800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4285 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 54678 LANTUS 0.2000 0.1900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51584 ESPARADRAPO MICROPORE 0.7700 0.3300 0.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.1700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3739 0.1061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 df4714f2043768130bd8fc1697987b05 JOSE NULL NULL 12010845940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 53070 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV 18.1400 18.1367 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5894 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1762 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1762 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.0000 1.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9992 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00111 ABOCATH N 14 A 22 UN 11.3000 4.8398 6.4602 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2585 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 89de482562e5b7e018a649729f8beffb MARGARIDA NULL NULL 11968995641 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5494 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5500 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3730 0.2970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.5100 0.2100 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51584 ESPARADRAPO MICROPORE 0.5100 0.2100 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1700 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 05c161dddc1d8ddc816feec5f733e360 CARIDADE NULL NULL 11980078740 54687 IODOPOVIDONA SD TP ML 0.6000 0.2500 0.3500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 51584 ESPARADRAPO MICROPORE 0.5100 0.2578 0.2522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 22421 PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV 55.3400 55.3382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12006852349 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cd4219d50787ada8c815bd2d69c2f95c NAIM NULL NULL 11983083940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51584 ESPARADRAPO MICROPORE 0.5100 0.2780 0.2320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.1677 0.1323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.1677 0.1323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 752a8cf8f0c71e9bf232856a31daf371 NEUSA NULL NULL 11971829544 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0090 0.0210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5883 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 bf55d65ece6508c746cda43a6da0ef8c WEDSON NULL NULL 12010887340 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7551 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51378 SERINGA DESC 03 ML UN 0.1500 0.1300 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 0.5400 0.4860 0.0540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 1.0800 0.9720 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00090 SERINGA DESC 20 ML UN 1.6100 1.4490 0.1610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51379 SERINGA DESC 05 ML UN 0.7700 0.5765 0.1935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.1900 0.1860 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51241 AGULHA 123X45 0.3800 0.3730 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1840 0.1460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3750 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3750 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3750 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00096 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.0740 1.5360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9069 0.5031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 3.2580 1.2220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 9.5000 0.0000 9.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3462 0.0538 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7011 0.1089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 9bd1aa00c2dafff94b749c1881ee4f37 PEDRO NULL NULL 11986265849 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.6815 1.0485 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7138 0.0962 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 00480 PROTAMINA 1000 UI/ML 5 ML SI IV AP 2.7200 2.7199 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 12.8700 12.8678 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 099ca112a415a15677eb7ed7503c0409 RODOLFO NULL NULL 11924898645 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2660 0.2640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.0800 1.0790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00090 SERINGA DESC 20 ML UN 1.6100 1.6090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51241 AGULHA 123X45 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3500 0.3493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4500 0.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 17.5746 2.7054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4ce3997b38f1ef83b714e669554f14a9 VICTOR NULL NULL 12030505847 51578 Frasco p/ alimentacao enteral 2.4700 2.2250 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4000 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 51218 TICAGRELOR 90 MG CP VO UN 7.7600 6.7900 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 07181 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO 0.1400 0.1100 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 c2fa42d69b857d9f16c77ea836a459ba SAULO NULL NULL 12011519142 07181 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO 0.1400 0.1000 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4800 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 3.8800 3.4700 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 7.7600 6.9400 0.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 a050ed50115d2a6dd0b15b99b39063da ARI NULL NULL 11995590444 51218 TICAGRELOR 90 MG CP VO UN 7.7600 6.9400 0.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 233.6900 233.6898 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 11977663542 01577 ALBUMINA HUMANA 20% 50 ML SI IV FA 467.3700 467.3696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 33b766d8d9b1d326fddafb58eb731766 MARIA NULL NULL 12045343549 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 41728e79e266e703e7c0444c2877fee6 CESAR NULL NULL 12006672841 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 7e39df306bd500e9d6e26d91b14d79fe PEDRO NULL NULL 12001530549 00671 CEFALOTINA 1 G 4.6600 4.6563 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01496 FENITOINA 50 MG/ML 5 ML SI IM IV AP 2.3400 2.3270 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 11232 CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE 38.9400 38.7380 0.2020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 0.4900 0.2452 0.2448 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2262 0.5038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1292 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 31aa7f72a790fd705f3182cce3306440 IRACI NULL NULL 11954055242 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 cffc8a80bf88238854ef3013af845094 ELY NULL NULL 11939039440 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 0.6600 0.5500 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 940ab56b5928de49e29732d53ab298ba LOURDES NULL NULL 12056602110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1041062 d22b589455ec2f4abd674b4f9e21db47 RONALDO NULL NULL 12010789715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 08eb05807f07a731551b9744d5a05c05 FRANCISCO NULL NULL 12006263340 40090060 Implante de Endo - Prótese Intracoronária 0.0000 0.0000 NULL PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-01-26 00:00:00.000000 1043851 29b96bf1231b5079d83dc7d36f2c2077 ODILIA NULL NULL 11791566848 26083 Prolopa 50/200mg Cp. 2.1200 2.1100 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-01-26 00:00:00.000000 1043851 4744c4dcdd5d5bc01b39940a6a8c68fc ANTONIETA NULL NULL 12010926940 19401 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700